PAs reduce rounding interruptions in the pediatric intensive care unit

JAAPA. 2018 Jun;31(6):41-45. doi: 10.1097/01.JAA.0000533661.80449.da.

Abstract

Objective: 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.

Methods: 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.

Results: The presence of a PA during PICU rounds was significantly associated (P < .001) with a 35.4% lower likelihood of an interruption.

Conclusions: 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.

MeSH terms

  • Humans
  • Intensive Care Units, Pediatric / statistics & numerical data*
  • Patient Care Team / statistics & numerical data*
  • Physician Assistants / statistics & numerical data*
  • Teaching Rounds / methods
  • Teaching Rounds / statistics & numerical data*
  • Time Factors