Advanced practice providers in critical care improve team performances. A post-hoc analysis of the BASIC trial

Abstract

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Advanced Practice Providers as Leaders of a Rapid Response Team: A Prospective Cohort Study

“…However, when we assess the performance of APPs by process outcomes, the handoff CEX recipient scale, an assessment of the RRT procedure in several domains, such as content, organization, judgment and communication as assessed by an experienced intensivist, did show a better performance of the APPs. This better performance of the APP-led teams on the CEX recipient scale is in line with a recent study, which found improved performances in the non-technical skills of APPs compared to physicians [ 17 ]. The CEX recipient scale outcome acknowledges the impression that an experienced APP performs on a higher level than an experienced resident.…”

“…A recent study using propensity score matching found that the participation of an APP in an RRT resulted in a decreased length of hospital stay [ 16 ]. Moreover, a recent study showed that APPs often provide direct additional value compared to a physician, as it measured process-related outcomes of APPs in a simulated rapid response team environment and showed that an APP might perform better than a medical resident (MR) [ 17 ].…”