1. The Society of Critical Care Medicine at 50 Years: ICU Organization and Management.
- Author
-
Kerlin, Meeta Prasad, Costa, Deena Kelly, and Kahn, Jeremy M.
- Subjects
- *
CRITICAL care medicine , *HOSPITAL mortality , *EARLY ambulation (Rehabilitation) , *CRITICALLY ill patient care , *ORGANIZATION management , *MEDICAL care , *HEALTH care teams , *INTENSIVE care units , *RESEARCH , *RESEARCH methodology , *COOPERATIVENESS , *MEDICAL cooperation , *EVALUATION research , *CATASTROPHIC illness , *COMPARATIVE studies , *PSYCHOLOGICAL tests , *QUALITY assurance , *INTERPROFESSIONAL relations , *PATIENT-family relations , *RESEARCH funding - Abstract
Introduction of Care Protocols and Bundles The 1980s saw the establishment of intensivist groups with managerial and clinical oversights of the ICU, including the rise of ICU directors who individually provided oversight of critical care operations within a hospital (52). Early studies of ICU culture failed to show a significant relationship between culture and outcome (38), likely because these studies approached ICU culture too broadly, without attention to the specific nuances of the ICU environment. Yet 50 years ago, as Max Harry Weil, Peter Safar, William Shoemaker, and other visionaries met in Los Angeles to found the Society of Critical Care Medicine (SCCM), intensive care medicine was still a fledgling specialty and the ICU as a fixture of hospital-based care was far from established. Weled BJ, Adzhigirey LA, Hodgman TM, et al; Task Force on Models for Critical Care: Critical care delivery: The importance of process of care and ICU structure to improved outcomes: An update from the American College of Critical Care Medicine Task Force on models of critical care. The ICU Without Walls Rapid response teams and ICU outreach teams were established with the goal of extending the expertise of intensivist physicians and nurses outside the ICU (61, 62). [Extracted from the article]
- Published
- 2021
- Full Text
- View/download PDF