PAs reduce rounding interruptions in the pediatric intensive care unit

JAAPA : Official Journal of the American Academy of Physician Assistants
Rebecca L HascallMark T Buchholz

Abstract

We investigated the proportion of encounters that were interrupted during family-centered rounds in the pediatric intensive care unit (PICU) to determine whether the use of a physician assistant (PA) significantly affected the proportion of interrupted encounters. We evaluated 2,657 rounding encounters in our 24-bed regional referral unit. The duration of each rounding encounter and total rounding duration were recorded. The presence or absence of a PA during each rounding encounter, the occurrence of an interruption, and other potential predictors of interruptions were recorded. The presence of a PA during PICU rounds was significantly associated (P < .001) with a 35.4% lower likelihood of an interruption. Family-centered rounds in the PICU are less likely to be interrupted when a PA is present. PAs help physicians and improve rounding efficiency by safely and effectively handling certain interruptions.

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Citations

Feb 6, 2019·Critical Care Medicine·Herman G KreeftenbergPeter H J van der Voort
Apr 27, 2021·Journal of Graduate Medical Education·Julia ArmendarizNazima Allaudeen
Jun 26, 2021·Hospital Pediatrics·Andrew J Knighton, Ellen J Bass
Nov 20, 2019·Pediatrics·Erin L KeelsUNKNOWN COMMITTEE ON FETUS AND NEWBORN

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