The origin of modern intensive care units (ICUs) has frequently been attributed to the widespread provision of mechanical ventilation within dedicated hospital areas during the 1952 Copenhagen polio epidemic. However, modern ICUs have developed to treat or monitor patients who have any severe, life-threatening disease or injury. These patients receive specialized care and vital organ assistance such as mechanical ventilation, cardiovascular support, or hemodialysis. ICU patients now typically occupy approximately 10% of inpatient acute care beds, yet the structure and organization of these ICUs can be quite different across hospitals. In The Organization of Critical Care: An Evidence-Based Approach to Improving Quality, leaders provide a concise, evidence-based review of ICU organizational factors that have been associated with improved patient (or other) outcomes.
The topics covered are grouped according to four broad domains: (1) the organization, structure, and staffing of an ICU; (2) organizational approaches to improving quality of care in an ICU; (3) integrating ICU care with other healthcare provided within the hospital and across the broader healthcare system; and (4) international perspectives on critical care delivery. Each chapter summarizes a different aspect of ICU organization and targets individual clinicians and healthcare decision makers. A long overdue contribution to the field, The Organization of Critical Care: An Evidence-Based Approach to Improving Quality is an indispensable guide for all clinicians and health administrators concerned with achieving state-of-the-art outcomes for intensive care.
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I - Organizing Intensive Care Ch.1: Organizational Change in Critical Care: The Next Magic Bullet? Gordon D. Rubenfeld, Damon C. Scales Ch.2: Origins of the Critically iIll: The Impetus for Critical Care Medicine Matthew Rosengart, Michael R. Pinsky Ch.3: Intensivist and Alternative Models of ICU Staffing Hayley B. Gershengorn, Allan Garland Ch.4: Health Professionals in Critical Care Timothy G. Buchman Ch.5: Computers in Intensive Care Stephen E. Lapinsky Ch.6: Integrating Subspecialty Expertise in the Intensive Care Unit Jason Katz II - Improving Intensive Care Ch.7: Quality Improvement in the Intensive Care Unit Christopher Dale, J. Randall Curtis Ch.8: Facilitating Interactions between Healthcare Providers in the ICU Andre Carlos Kajdacsy-Balla Amaral Ch.9: Teamwork and Leadership in the Critical Care Unit Tom W Reader, Brian H Cuthbertson Ch. 10: Caring for ICU Providers Ruth M. Kleinpell, Omar B. Lateef, Gourang P. Patel III - Integrating Intensive Care Ch. 11: Rationing without Contemplation: Why Attention to Patient Flow is Important and How to Make it Better Michael Howell, Jennifer Stevens Ch. 12: Rapid Response Systems Ken Hillman, Jack Chen Ch. 13: The Chronically Critically Ill Shannon S. Carson, Kathleen Dalton Ch. 14: Regionalization of Critical Care Theodore J. Iwashyna, Jeremy M. Kahn Ch. 15: International Perspectives on Critical Care Hannah Wunsch Ch. 16: Critical Care in Low-Resource Settings Srinivas Murthy, Sadat A. Sayeed, Neil Adhikari IV - Critical Care - Global and Future Perspectives Ch. 17: Disaster Planning for the Intensive Care Unit: A Critical Framework Daniel B. Jamieson, Lee Daugherty Biddison
