©The Author(s) 2017.
World J Crit Care Med. Aug 4, 2017; 6(3): 153-163
Published online Aug 4, 2017. doi: 10.5492/wjccm.v6.i3.153
Published online Aug 4, 2017. doi: 10.5492/wjccm.v6.i3.153
Table 1 Basic patient-oriented tasks of physicians on the intensive care unit
| In-house | Standard | In-house time | Standard time | Physicians/handing over | ||||
| Time (min) | Time (min) | Physician/patient | Time/patient | Physician/patient | Time/patient | |||
| Admission (time per patient, including daily routine on day of admission) | ||||||||
| Patient takeover | 5 | 5 | ||||||
| Clinical evaluation | 5 | 5 | ||||||
| Writing of admission documents | 20 | 20 | ||||||
| Writing of physician's instructions | 10 | 10 | ||||||
| Reimbursement documentation (DRGs) | 10 | 10 | ||||||
| Basic examination and controls | 5 | 5 | ||||||
| Handing over round | 5 | 5 | ||||||
| Senior physician round | 5 | 5 | ||||||
| Sum | 65 | 65 | ||||||
| Daily routine (time per patient) | ||||||||
| Transit time | 5 | 5 | ||||||
| Physical examination and status | 5 | 5 | ||||||
| Writing of physician's instructions | 5 | 5 | ||||||
| Documentation | 2 | 2 | ||||||
| Radiology round | 2 | 2 | ||||||
| Microbiology round | 2 | 2 | ||||||
| Physiotherapy round | 10 | 10 | ||||||
| Talking with relatives | 5 | 5 | ||||||
| Rounds with consultants | 5 | 5 | ||||||
| Sum | 41 | 41 | ||||||
| Omission/demission (time per patient) | ||||||||
| Final examination | 3 | 3 | ||||||
| Final documentation | 15 | 15 | ||||||
| Physician's letter | 5 | 5 | ||||||
| Handing over | 2 | 2 | ||||||
| Sum | 25 | 25 | ||||||
| Handing over medical rounds (time per patient) | ||||||||
| Shift 1 | Handing over 1 Mo - Fr | 25 | 5 | 25 | 5 | 5 | ||
| Shift 2 | Handing over 2 Mo - Fr | 25 | 5 | 25 | 5 | 5 | ||
| Shift 3 | Handing over 3 Mo - Fr | 15 | 5 | 15 | 5 | 3 | ||
| Senior physician round Mo - Fr | 10 | 10 | 5 | 5 | 1 | |||
| Sum Mo - Fr | 75 | 70 | ||||||
| Shift 1 | Handing over 1 Sa, Su, public holiday | 15 | 5 | 15 | 5 | 3 | ||
| Shift 2 | Handing over 2 Sa, Su, public holiday | 0 | 5 | 0 | 5 | 0 | ||
| Shift 3 | Handing over 3 Sa, Su, public holiday | 15 | 5 | 15 | 5 | 3 | ||
| Senior physician round Sa, Su, public holiday | 5 | 5 | 5 | 5 | 1 | |||
| Sum Sa, Su, public holidays | 35 | 35 | ||||||
- Citation: Weiss M, Marx G, Iber T. Generalizable items and modular structure for computerised physician staffing calculation on intensive care units. World J Crit Care Med 2017; 6(3): 153-163
- URL: https://www.wjgnet.com/2220-3141/full/v6/i3/153.htm
- DOI: https://dx.doi.org/10.5492/wjccm.v6.i3.153