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COOP: Critical Care Organization and Outcomes Project

PI: Jeremy M. Kahn, MD MS

Co-Investigators: Amber Barnato, Derek Angus, Judith Lave, David Wallace 

Funding: NIH K23HL082650

Status:

Intensivist-led, multidisciplinary care is the gold standard for ICU staffing. However, very little is known about the mechanisms by which intensivists improve outcomes, or how to export the benefits of this staffing model to small, community ICUs. This project is a prospective cohort study examining the link between critical care organization and patient outcomes. Specifically, we are developing and validating an instrument to measure key aspects of ICU organization beyond just physician staffing patterns, and testing the relationship between these organizational attributes and patient survival in a nationally-representative group of US hospitals.