Twenty-four hour presence of physicians in the ICU

被引：42

作者：

Burchardi, H ^{[1
]}

Moerer, O ^{[1
]}

机构：

[1] Univ Gottingen Klinikum, Zentrum Anaesthesiol Rettungs & Intens Med, Dept Anaesthesiol Emergency & Intens Care Med, D-37070 Gottingen, Germany

来源：

CRITICAL CARE | 2001年 / 5卷 / 03期

关键词：

24-hour coverage critical care; intensive-care units; organisation and management; outcome and process assessment;

D O I：

10.1186/cc1012

中图分类号：

R4 [临床医学];

学科分类号：

1002 ; 100602 ;

摘要：

Intensive-care units (ICUs) must be utilised in the most efficient way. Greater input of intensivists leads to better outcomes and more efficient use of resources. 'Closed' ICUs operate as functional units with a competent on-site team and their own management under the supervision of a full-time intensivist directly responsible for the treatment. Twenty-four-hour coverage by on-site physicians is mandatory to maintain the service. At night, the on-site physicians need not necessarily be specialists as long as an experienced intensivist is on call. Because of the shortage of intensivists, such standards will be difficult to maintain everywhere, but they should, at least, be mandatory for larger hospitals serving as regional centres.

引用

页码：131 / 137

页数：7

共 30 条

[1] ICU nurse-to-patient ratio is associated with complications and resource nse after esophagectomy [J].