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- W2071316925 abstract "Objectives: To analyse the impact on efficiency, as measured by mortality and length of stay, of an increase in the number of middle-grade staff (fellows) in a 16-bed paediatric intensive care unit (PICU). Design: Retrospective review using prospectively collected data. Setting: Paediatric intensive care unit of a university hospital. Patients: All admissions to the PICU over two equivalent six-month time periods, before and after an increase in the number of fellows from three to five. Results: Patients were well matched in terms of case mix, disease severity, comorbidity and modes of death. Potential confounding factors, such as nursing or other medical staff input, were similar. A reduction in mortality was seen during the later period, both when compared to a standardised Paediatric Risk of Mortality model (z=3.44, p=0.0006) and the earlier time period (Standardised Mortality Ratio 46.8, 95% CI 23.9-69.7). Median length of stay among PICU-dependent patients was reduced from four to three days (p=0.009..." @default.
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- W2071316925 date "1998-10-01" @default.
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- W2071316925 title "Impact of increased middle-grade medical cover on mortality and efficiency in a paediatric intensive care unit" @default.
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- W2071316925 doi "https://doi.org/10.3109/tcic.9.5.185.190" @default.
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