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

被引：8

作者：

Waydhas, Christian ^{[1
,2
]}

Riessen, Reimer ^{[3
]}

Markewitz, Andreas ^{[4
]}

Hoffmann, Florian ^{[5
]}

Frey, Lorenz ^{[6
]}

Boettiger, Bernd W. ^{[7
]}

Brenner, Sebastian ^{[8
]}

Brenner, Thorsten ^{[9
]}

Deffner, Teresa ^{[10
]}

Deininger, Matthias M. ^{[11
]}

Janssens, Uwe ^{[12
,13
]}

Kluge, Stefan ^{[14
]}

Marx, Gernot ^{[12
]}

Schwab, Stefan ^{[15
]}

Unterberg, Andreas W. ^{[16
]}

Walcher, Felix ^{[17
]}

van den Hooven, Thomas ^{[18
]}

机构：

[1] Univ Hosp Essen, Dept Trauma Surg, Trauma Intens Care, Essen, Germany

[2] Ruhr Univ Bochum, Univ Hosp Bergmannsheil, Dept Surg, Bochum, Germany

[3] Univ Tubingen, Dept Med, Med Intens Care Unit, Tubingen, Germany

[4] Deutsch Interdisziplinare Vereinigung Intens & No, Med Geschaftsfuhrung, Berlin, Germany

[5] Ludwig Maximilians Univ Munchen, Dr Von Hauner Childrens Hosp, Dept Pediat, Munich, Germany

[6] Munich Med Int, Munich, Germany

[7] Univ Hosp Cologne, Dept Anesthesiol & Intens Care Med, Crologne, Germany

[8] Univ Hosp Carl Gustav Carus, Div Neonatol & Pediat Intens Care, Dept Pediat, Dresden, Germany

[9] Univ Duisburg Essen, Univ Hosp Essen, Dept Anesthesiol & Intens Care Med, Essen, Germany

[10] Univ Hosp Jena, Dept Anaesthesiol & Intens Care Med, Jena, Germany

[11] Rhein Westfal TH Aachen, Fac Med, Dept Intens & Intermediate Care, Aachen, Germany

[12] St Antonius Hosp, Med Clin, Eschweiler, Germany

[13] St Antonius Hosp, Med Intens Care Med, Eschweiler, Germany

[14] Univ Med Ctr Hamburg Eppendorf, Dept Intens Care Med, Heamburg, Germany

[15] Friedrich Alexander Univ Erlangen Nurnberg, Univ Hosp Erlangen, Dept Neurol, Eerlangen, Germany

[16] Heidelberg Univ Hosp, Dept Neurosurg, Heidelberg, Germany

[17] Otto von Guericke Univ, Dept Trauma Surg, Magdeburg, Germany

[18] Univ Hosp Munster, Pflegedirekt, Munster, Germany

来源：

FRONTIERS IN MEDICINE | 2023年 / 10卷

关键词：

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

D O I：

10.3389/fmed.2023.1196060

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Background: 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: To provide guidance and recommendations for the requirements of (infra)structure, personal, and organization of intensive care units. Design and setting: 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: 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: This document provides a detailed framework for organizing and planning the operation and construction/renovation of ICUs.

引用

页数：9

共 4 条

[1] Deutsche Interdisziplinare Vereinigung fur Intensiv- und Notfallmedizin (DIVI), 2022, EMPFEHLUNGEN STRUKTU
[2] Grading strength of recommendations and quality of evidence in clinical guidelines -: Report from an American College of Chest Physicians task force
Guyatt, G
Gutterman, D
Baumann, MH
Addrizzo-Harris, D
Hylek, EM
Phillips, B
Raskob, G
Lewis, SZ
Schünemann, H
[J]. CHEST, 2006, 129 (01) : 174 - 181
[3] Jorch G, 2011, DIVI, V2, P78
[4] Recommendations on basic requirements for intensive care units: structural and organizational aspects
Valentin, Andreas
Ferdinande, Patrick
[J]. INTENSIVE CARE MEDICINE, 2011, 37 (10) : 1575 - 1587

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