tailieunhanh - Báo cáo y học: "Evidence-based approach to intensive care unit management: need for improvement"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Evidence-based approach to intensive care unit management: need for improvement. | Available online http content 12 1 404 Letter Evidence-based approach to intensive care unit management need for improvement Anders Ersson and Michelle Chew Department of Intensive Care Medicine Entrance 42 Level 2 Malmo University Hospital S-20505 Malmo Sweden Corresponding author Anders Ersson Published 25 January 2008 This article is online at http content 12 1 404 2008 BioMed Central Ltd Critical Care 2008 12 404 doi cc6763 See related review by Strack van Schijndel and Burchardi http content 11 6 234 We read with great interest the contribution by Strack van Schijndel and Burchardi 1 . The topic of intensive care unit ICU management deserves to be highlighted as it is a most complex task to undertake. In their paper the authors refer to Covey s Seven Habits of Highly Effective People 2 but did not distinguish between leadership and management - two fundamentally different but not mutually exclusive concepts. To paraphrase Covey 2 Management is a bottom line focus How do I best accomplish . whereas Leadership deals with the top line What do I want to accomplish . The ICU is as pointed out a very stressful environment. Leadership the provision of good working conditions a supporting and team-building environment adequate resources for individual assignments and scientific projects and good utilisation of human resources are certainly an art in itself. The need for a more focused approach to ICU management is highlighted in recent papers 3 4 where a high frequency of burnout among ICU personnel was reported. This alarming finding was also accompanied by a high desire among ICU staff to leave their work indicating that immediate actions are needed to adapt the critical care organisation to new professional demands to the increasing workload and to increasing complexity. In the light of this and the well recognised shortage of ICU staff 5 it is paramount that the leadership and management of ICUs .