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Editorial
. 2018 Nov;15(11):1280-1282.
doi: 10.1513/AnnalsATS.201808-577ED.

The Search for the Optimal Intensive Care Unit Triage Model

Thomas S Valley  1   2
Affiliations
Editorial

The Search for the Optimal Intensive Care Unit Triage Model

Thomas S Valley. Ann Am Thorac Soc. 2018 Nov.
No abstract available

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Figures

Figure 1.
Figure 1.
Occupancy and value among airlines, hotels, and intensive care units (ICUs). (A) Profits increase linearly with occupancy rates for the airline industry. (B) Profits for the hotel industry increase until occupancy rates reach approximately 75% occupancy, at which point more staffing is required and profits decrease. (C) Four hypothesized examples of how ICU occupancy may influence the quality of care delivered to critically ill patients. Red dashed line: if an ICU always provides the highest-quality care in a hospital, then maximizing ICU occupancy improves quality of care. Gray dashed line: increasing ICU occupancy results in less attention for each additional patient. Blue dashed line: at a given point, ICU occupancy becomes overwhelming and quality of care suffers. Black dashed line: in an ICU with flexible staffing, the ICU provides close attention at low occupancy; at high occupancy, the ICU increases staffing to meet demand, but at medium occupancy, the ICU maintains staffing as if occupancy were low, resulting in poor quality of care.
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References

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