Recommendations on the structure, personal, and organization of intensive care units.

guideline intensive care medicine organization personal quality of care recommendation structural requirements

Journal

Frontiers in medicine
ISSN: 2296-858X
Titre abrégé: Front Med (Lausanne)
Pays: Switzerland
ID NLM: 101648047

Informations de publication

Date de publication:
2023
Historique:
received: 29 03 2023
accepted: 16 05 2023
medline: 10 7 2023
pubmed: 10 7 2023
entrez: 10 7 2023
Statut: epublish

Résumé

Intensive care units (ICU) are central facilities of medical care in hospitals world-wide and pose a significant financial burden on the health care system. To provide guidance and recommendations for the requirements of (infra)structure, personal, and organization of intensive care units. Development of recommendations based on a systematic literature search and a formal consensus process from a group of multidisciplinary and multiprofessional specialists from the German Interdisciplinary Association of Intensive Care and Emergency Medicine (DIVI). The grading of the recommendation follows the report from an American College of Chest Physicians Task Force. The recommendations cover the fields of a 3-staged level of intensive care units, a 3-staged level of care with respect to severity of illness, qualitative and quantitative requirements of physicians and nurses as well as staffing with physiotherapists, pharmacists, psychologists, palliative medicine and other specialists, all adapted to the 3 levels of ICUs. Furthermore, proposals concerning the equipment and the construction of ICUs are supplied. This document provides a detailed framework for organizing and planning the operation and construction/renovation of ICUs.

Sections du résumé

Background UNASSIGNED
Intensive care units (ICU) are central facilities of medical care in hospitals world-wide and pose a significant financial burden on the health care system.
Objectives UNASSIGNED
To provide guidance and recommendations for the requirements of (infra)structure, personal, and organization of intensive care units.
Design and setting UNASSIGNED
Development of recommendations based on a systematic literature search and a formal consensus process from a group of multidisciplinary and multiprofessional specialists from the German Interdisciplinary Association of Intensive Care and Emergency Medicine (DIVI). The grading of the recommendation follows the report from an American College of Chest Physicians Task Force.
Results UNASSIGNED
The recommendations cover the fields of a 3-staged level of intensive care units, a 3-staged level of care with respect to severity of illness, qualitative and quantitative requirements of physicians and nurses as well as staffing with physiotherapists, pharmacists, psychologists, palliative medicine and other specialists, all adapted to the 3 levels of ICUs. Furthermore, proposals concerning the equipment and the construction of ICUs are supplied.
Conclusion UNASSIGNED
This document provides a detailed framework for organizing and planning the operation and construction/renovation of ICUs.

Identifiants

DOI: 10.3389/fmed.2023.1196060 PMID: 37425314 PMC: PMC10325721
pubmed: 37425314
doi: 10.3389/fmed.2023.1196060
pmc: PMC10325721
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1196060

Informations de copyright

Copyright © 2023 Waydhas, Riessen, Markewitz, Hoffmann, Frey, Böttiger, Brenner, Brenner, Deffner, Deininger, Janssens, Kluge, Marx, Schwab, Unterberg, Walcher and van den Hooven.

Déclaration de conflit d'intérêts

The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.

Références

Chest. 2006 Jan;129(1):174-81
pubmed: 16424429
Intensive Care Med. 2011 Oct;37(10):1575-87
pubmed: 21918847

Auteurs

Christian Waydhas (C)

Trauma Intensive Care, Department of Trauma Surgery, University Hospital Essen, Essen, Germany.
Department of Surgery, University Hospital Bergmannsheil, Ruhr-University Bochum, Bochum, Germany.

Reimer Riessen (R)

Medical Intensive Care Unit, Department of Medicine, University of Tübingen, Tübingen, Germany.

Andreas Markewitz (A)

Medizinische Geschäftsführung, Deutsche Interdisziplinäre Vereinigung für Intensiv- und Notfallmedizin, Berlin, Germany.

Florian Hoffmann (F)

Department of Pediatrics, Dr. Von Hauner Children's Hospital, Ludwig-Maximilians-University, Munich, Germany.

Lorenz Frey (L)

Munich Medical International, Munich, Germany.

Bernd W Böttiger (BW)

Department of Anesthesiology and Intensive Care Medicine, University Hospital of Cologne, Crologne, Germany.

Sebastian Brenner (S)

Division of Neonatology and Pediatrics Intensive Care, Department of Pediatrics, University Hospital Carl Gustav Carus, Dresden, Germany.

Thorsten Brenner (T)

Department of Anesthesiology and Intensive Care Medicine, University Hospital Essen, University Duisburg-Essen, Essen, Germany.

Teresa Deffner (T)

Department of Anaesthesiology and Intensive Care Medicine, University Hospital Jena, Jena, Germany.

Matthias M Deininger (MM)

Department of Intensive and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.

Uwe Janssens (U)

Medical Clinic and Medical Intensive Care Medicine, St.-Antonius Hospital, Eschweiler, Germany.

Stefan Kluge (S)

Department of Intensive Care Medicine, University Medical Centre Hamburg-Eppendorf, Heamburg, Germany.

Gernot Marx (G)

Department of Intensive and Intermediate Care, Medical Faculty, RWTH Aachen University, Aachen, Germany.

Stefan Schwab (S)

Department of Neurology, University Hospital Erlangen, Friedrich-Alexander-Universität Erlangen-Nürnberg, Eerlangen, Germany.

Andreas W Unterberg (AW)

Department of Neurosurgery, Heidelberg University Hospital, Heidelberg, Germany.

Felix Walcher (F)

Department of Trauma Surgery, Otto-Von-Guericke University Magdeburg, Magdeburg, Germany.

Thomas van den Hooven (T)

Pflegedirektion, University Hospital Münster, Münster, Germany.

Classifications MeSH