Rena Hayashi, Yoh Iwasa
Temporal Pattern of the Emergence of a Mutant Virus Escaping Cross-Immunity and Stochastic Extinction Within a Host
Bulletin of mathematical biology
observational study aimed describe rounding structure high acuity neonatal intensive care unit nicu identify potential barriers efficient multidisciplinary rounds observed daily medical rounds januarydecember 2018 resident teaching service 46bed academic level iv nicu daily census duration rounds causes rounding delays recorded subset study period additional data collected describing time spent specific activities roomtoroom pathway followed rounding team descriptive statistics used summarize census total rounding time time spent activity rounding time day week attending total 208 rounding days observed study period teaching service mean daily census 17 patients total rounding time mean standard deviation 136 31 minutes mean rounding time timepatient varied nine attendings total time range 109 minutes 169 minutes timepatient range 64 minutespatient 100 minutespatient total 91 rounding time focused patient care teaching discussions parents 9 time spent deciding patient see next moving rooms waiting members team ready start rounds average medical team spent 2 hours per day making multisciplinary rounds nicu substantial variation attending providers time spent patient care teaching talking parents identified opportunities improve rounding efficiency structure rounds nicu observed identify potential barriers efficiency limited data mdr processes nicu total 9 time spent patient care activities daily rounds