No significant impact of transitions of care observed between individual staff physicians on evidence-based processes of care for mechanically ventilated adult patients. However, transitions were associated with a lower likelihood of extubation and higher odds of earlier discontinuation of antibiotics.

The cohort consisted of 10,570 patients admitted between June 2014 and August 2018.

Compliance varied for each practice.

There was no effect of transitions of care on compliance with spontaneous breathing trials, lung-protective ventilation, or neuromuscular blockade use.

Effects of the weekly transition of care observed among staff intensivists on compliance with three evidence-based processes of care (spontaneous breathing trials, lung-protective ventilation, and neuromuscular blocking agents).

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