Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học General Psychiatry cung cấp cho các bạn kiến thức về ngành y đề tài: Twenty-four hour presence of physicians in the ICU. | Available online http content 5 3 131 Review Twenty-four hour presence of physicians in the ICU Hilmar Burchardi and Onnen Moerer Department of Anaesthesiology Emergency and Intensive Care Medicine University Hospital Gottingen Germany Correspondence Prof Dr Hilmar Burchardi Zentrum Anaesthesiologie Rettungs- und Intensivmedizin Klinikum der Georg-August-Universitat Robert-Koch-Str 40 D 37070 Gottingen Germany. Tel 49 551 39 6027 fax 49 551 39 6530 e-mail hburcha@ Received 18 April 2001 Accepted 22 April 2001 Published 2 May 2001 Critical Care 2001 5 131-137 BioMed Central Ltd on behalf of the copyright holder Print ISSN 1364-8535 Online ISSN 1466-609X Abstract 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. Keywords 24-hour coverage critical care intensive-care units organisation and management outcome and process assessment Introduction Intensive-care units ICUs are the most expensive part of a hospital. It is therefore extremely important that they are used in the most efficient way. As in any other business high quality and cost-effective performance in intensive-care medicine ICM can best be achieved when responsibility and management are given to those who have the special expertise. In the past decade it has become evident that a greater input of intensivists leads .
