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Overflow policy: ok to put your MICU patients in CCU

Jacobi Medical Center (Bronx, NY) is a large teaching hospital that established a policy of admitting critically ill patients to the coronary care unit when no bed is available in the medical ICU.  In this study of about 1100 patients over a four-year period, no higher mortality or longer length of stay was found.  The authors conclude that it is a safe practice.

Source:  Sidlow, R., and, Aggarwal, V.  “The MICU is full”: one hospital’s experience with an overflow triage policy.  The Joint Commission Journal on Quality and Patient Safety;37(10):456-460, Oct. 2011.  Click here for more information: http://www.ingentaconnect.com/content/jcaho/jcjqs/latest Posted by AHA Resource Center, (312) 422-2050, rc@aha.org

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