Engelsk titel: Organization and management of Norwegian intensive care units
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Författare:
Smith-Erichsen N
;
Fredriksen A
Språk: Nor
Antal referenser: 11
Dokumenttyp:
Artikel
UI-nummer: 01039663
Sammanfattning
BACKGROUND : A survey of organisational and managerial aspects in Norwegian intensive care units (ICU) was made six months after Standards for Intensive Care, a document setting out guidelines for the organisation and management of intensive care units, had been issued by the Norwegian Medical Association to Norwegian hospitals.
MATERIAL AND METHODS : 298 questionnaires were sent to hospital managers and heads of clinical departments in 58 Norwegian hospitals.
RESULTS : The overall response rate was 77%. 60% of the respondents had heard about Standards, 44% had read them, 15% used them. The majority of ICUs were run by the Department of Anaesthesia. 75% answered that the admitting department had the overall responsibility for the individual patient; 23% of respondents claimed that the ICU doctor was responsible. More than half of these worked in secondary and tertiary care hospitals.
INTERPRETATION : Standards of Intensive Care is poorly known and read by less than half of the respondents. Only a few have started to implement them. Some uncertainty about patient responsibility may exist particularly in secondary and tertiary care hospitals. There seems to be a need for better role clarification and definitions of responsibility for all participants in intensive care, with more focus on organisational and managerial aspects.