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Critical Care Services: Scope of Practice

  • Janice Zimmerman
  • Mukhtar Al-Saadi
Chapter

Abstract

Critical care services provide care, monitoring, and therapeutic interventions to patients with life-threatening conditions or injuries and complex multi-organ dysfunction in and beyond the intensive care unit (ICU) settings. The ICU is a complex organizational system. Improvement in performance and outcomes depends on the structure and processes of such systems. High-intensity staffing and closed ICU organizational models are associated with improved outcomes. A dedicated ICU physician-led multidisciplinary team that provides collaborative high-quality critical care, the use of evidence-based care and protocols, and multidisciplinary patient and family-centered ICU rounds are key elements for the provision of critical care to seriously ill patients.

Keywords

ICU organization ICU staffing ICU specialist Intensivist ICU clinical rounds ICU multidisciplinary rounds 

References

  1. 1.
    Hall J, Schmidt G, Wood L. An approach to critical care. In: Hall J, Schmidt G, Kress J, editors. Principles of critical care. 4th ed. New York: McGraw-Hill Education; 2015. p. 2–7.Google Scholar
  2. 2.
    Garland A. Improving the ICU. Chest. 2005;127(6):2151–64.PubMedCrossRefPubMedCentralGoogle Scholar
  3. 3.
    Dorman T, Angood P, Angus D, Clemmer T, Cohen N, Durbin C, et al. Guidelines for critical care medicine training and continuing medical education. Crit Care Med. 2004;32(1):263–72.PubMedCrossRefPubMedCentralGoogle Scholar
  4. 4.
    Amin P, Fox-Robichaud A, Divatia J, Pelosi P, Altintas D, Eryüksel E, et al. The intensive care unit specialist: report from the task force of World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2016;35:223–8.PubMedCrossRefPubMedCentralGoogle Scholar
  5. 5.
    Marshall J, Bosco L, Adhikari N, Connolly B, Diaz J, Dorman T, et al. What is an intensive care unit? A report of the task force of the World Federation of Societies of Intensive and Critical Care Medicine. J Crit Care. 2017;37:270–6.PubMedCrossRefPubMedCentralGoogle Scholar
  6. 6.
    Reynolds H. Impact of critical care physician staffing on patients with septic shock in a university hospital medical intensive care unit. JAMA. 1988;260(23):3446–50.PubMedCrossRefPubMedCentralGoogle Scholar
  7. 7.
    Groeger J, Guntupalli K, Strosberg M, Halpern N, Raphael YR, Cerra F, et al. Descriptive analysis of critical care units in the United States. Crit Care Med. 1993;21(2):279–91.PubMedCrossRefPubMedCentralGoogle Scholar
  8. 8.
    Carson S. Effects of organizational change in the medical intensive care unit of a teaching hospital. JAMA. 1996;276(4):322.PubMedCrossRefPubMedCentralGoogle Scholar
  9. 9.
    Manthous C, Amoateng-Adjepong Y, Al-Kharrat T, Jacob B, Alnuaimat H, Chatila W, et al. Effects of a medical intensivist on patient care in a community teaching hospital. Mayo Clin Proc. 1997;72(5):391–9.PubMedPubMedCentralCrossRefGoogle Scholar
  10. 10.
    Multz A, Chalfin D, Samson I, Dantzker D, Fein A, Steinberg H, et al. A “closed” medical intensive care unit (MICU) improves resource utilization when compared with an “open” MICU. Am J Respir Crit Care Med. 1998;157(5):1468–73.PubMedCrossRefPubMedCentralGoogle Scholar
  11. 11.
    Pollack M, Katz R, Ruttimann U, Getson P. Improving the outcome and efficiency of intensive care. Crit Care Med. 1988;16(1):11–7.PubMedPubMedCentralCrossRefGoogle Scholar
  12. 12.
    Hanson C, Deutschman C, Anderson H, Reilly P, Behringer E, Schwab C, et al. Effects of an organized critical care service on outcomes and resource utilization. Crit Care Med. 1999;27(2):270–4.PubMedCrossRefPubMedCentralGoogle Scholar
  13. 13.
    Pronovost P. Organizational characteristics of intensive care units related to outcomes of abdominal aortic surgery. JAMA. 1999;281(14):1310.PubMedCrossRefPubMedCentralGoogle Scholar
  14. 14.
    Dimick J, Pronovost P, Heitmiller R, Lipsett P. ICU physician staffing and hospital volume are related to improved outcomes for esophageal resection. J Am Coll Surg. 2000;191(4):S14–5.CrossRefGoogle Scholar
  15. 15.
    Brilli R, Spevetz A, Branson R, Campbell G, Cohen H, Dasta J, et al. Critical care delivery in the intensive care unit: defining clinical roles and the best practice model. Crit Care Med. 2001;29(10):2007–19.PubMedCrossRefPubMedCentralGoogle Scholar
  16. 16.
    Pronovost P, Angus D, Dorman T, Robinson K, Dremsizov T, Young T. Physician staffing patterns and clinical outcomes in critically ill patients. JAMA. 2002;288(17):2151.PubMedCrossRefPubMedCentralGoogle Scholar
  17. 17.
    Marik P, Varon J. The optimal ICU organizational structure. Crit Care Shock. 2018;21(4):148–50.Google Scholar
  18. 18.
    Lipschik G, Kelley M. Models of critical care delivery: physician staffing in the ICU. Semin Respir Crit Care Med. 2001;22(01):095–100.CrossRefGoogle Scholar
  19. 19.
    Fakhry S, Buehrer J, Sheldon G, Meyer A. A comparison of intensive care unit care of surgical patients in teaching and nonteaching hospitals. Ann Surg. 1991;214(1):19.PubMedPubMedCentralCrossRefGoogle Scholar
  20. 20.
    Carlson R, Weiland D, Srivathsan K. Does a full-time, 24-hour intensivist improve care and efficiency. Crit Care Clin. 1996;12(3):525–52.PubMedCrossRefPubMedCentralGoogle Scholar
  21. 21.
    Bell R, Robinson L. Final report of the Ontario critical care steering committee. Toronto: The Ontario Critical Care Steering Committee; 2005. p. 31–40.Google Scholar
  22. 22.
    Mallick R, Strosberg M, Lambrinos J, Groeger J. The intensive care unit medical director as manager impact on performance. Med Care. 1995;33(6):611–24.PubMedCrossRefPubMedCentralGoogle Scholar
  23. 23.
    Rubenfeld GD. The structure of intensive care. In: Sibbald WJ, Bion JF, editors. Evaluating critical care. Update in intensive care medicine, vol. 35. Berlin, Heidelberg: Springer; 2002. p. 23–40.Google Scholar
  24. 24.
    Wunsch H, Angus D, Harrison D, Collange O, Fowler R, Hoste E, et al. Variation in critical care services across North America and Western Europe. Crit Care Med. 2008;36(10):2787–e8.PubMedCrossRefPubMedCentralGoogle Scholar
  25. 25.
    Angus D, Shorr A, White A, Dremsizov T, Schmitz R, Kelley M. Critical care delivery in the United States: distribution of services and compliance with Leapfrog recommendations. Crit Care Med. 2006;34(4):1016–24.PubMedCrossRefPubMedCentralGoogle Scholar
  26. 26.
    Judson J, Fisher M. Intensive care in Australia and New Zealand. Crit Care Clin. 2006;22(3):407–23.PubMedCrossRefPubMedCentralGoogle Scholar
  27. 27.
    Offenstadt G, Moreno R, Palomar M, Gullo A. Intensive care medicine in Europe. Crit Care Clin. 2006;22(3):425–32.PubMedCrossRefPubMedCentralGoogle Scholar
  28. 28.
    Bellomo R, Stow P, Hart G. Why is there such a difference in outcome between Australian intensive care units and others? Curr Opin Anaesthesiol. 2007;20(2):100–5.PubMedCrossRefPubMedCentralGoogle Scholar
  29. 29.
    Graf J, Reinhold A, Brunkhorst F, Ragaller M, Reinhart K, Loeffler M, et al. Variability of structures in German intensive care units – a representative, nationwide analysis. Wien Klin Wochenschr. 2010;122(19–20):572–8.PubMedCrossRefPubMedCentralGoogle Scholar
  30. 30.
    Holland J. Studying complex adaptive systems. J Syst Sci Complex. 2006;19(1):1–8.CrossRefGoogle Scholar
  31. 31.
    Gomersall T. Complex adaptive systems: a new approach for understanding health practices. Health Psychol Rev. 2018;12(4):405–18.PubMedCrossRefPubMedCentralGoogle Scholar
  32. 32.
    Young M, Birkmeyer J. Potential reduction in mortality rates using an intensivist model to manage intensive care units. Eff Clin Pract. 2000;3(6):284–9.PubMedPubMedCentralGoogle Scholar
  33. 33.
    Durbin C. Team model: advocating for the optimal method of care delivery in the intensive care unit. Crit Care Med. 2006;34(Suppl):S12–7.PubMedCrossRefGoogle Scholar
  34. 34.
    Levy M, Rapoport J, Lemeshow S, Chalfin D, Phillips G, Danis M. Association between critical care physician management and patient mortality in the intensive care unit. Ann Intern Med. 2008;148(11):801.PubMedPubMedCentralCrossRefGoogle Scholar
  35. 35.
    Treggiari M, Martin D, Yanez N, Caldwell E, Hudson L, Rubenfeld G. Effect of intensive care unit organizational model and structure on outcomes in patients with acute lung injury. Am J Respir Crit Care Med. 2007;176(7):685–90.PubMedPubMedCentralCrossRefGoogle Scholar
  36. 36.
    Gajic O, Afessa B, Hanson A, Krpata T, Yilmaz M, Mohamed S, et al. Effect of 24-hour mandatory versus on-demand critical care specialist presence on quality of care and family and provider satisfaction in the intensive care unit of a teaching hospital. Crit Care Med. 2008;36(1):36–44.PubMedCrossRefPubMedCentralGoogle Scholar
  37. 37.
    Azoulay É, Mancebo J, Brochard L. Surviving the night in the ICU. Am J Respir Crit Care Med. 2010;182(3):293–4.PubMedCrossRefGoogle Scholar
  38. 38.
    Kerlin M, Halpern S. Twenty-four-hour intensivist staffing in teaching hospitals. Chest. 2012;141(5):1315–20.PubMedPubMedCentralCrossRefGoogle Scholar
  39. 39.
    Diaz-Guzman E, Colbert C, Mannino D, Davenport D, Arroliga A. 24/7 in-house intensivist coverage and fellowship education. Chest. 2012;141(4):959–66.PubMedCrossRefGoogle Scholar
  40. 40.
    Wallace D, Angus D, Barnato A, Kramer A, Kahn J. Nighttime intensivist staffing and mortality among critically ill patients. N Engl J Med. 2012;366(22):2093–101.PubMedPubMedCentralCrossRefGoogle Scholar
  41. 41.
    Kerlin M, Small D, Cooney E, Fuchs B, Bellini L, Mikkelsen M, et al. A randomized trial of nighttime physician staffing in an intensive care unit. N Engl J Med. 2013;368(23):2201–9.PubMedPubMedCentralCrossRefGoogle Scholar
  42. 42.
    Wilcox M, Chong C, Niven D, Rubenfeld G, Rowan K, Wunsch H, et al. Do intensivist staffing patterns influence hospital mortality following ICU admission? A systematic review and meta-analyses. Crit Care Med. 2013;41(10):2253–74.PubMedCrossRefPubMedCentralGoogle Scholar
  43. 43.
    Kerlin M, Adhikari N, Rose L, Wilcox M, Bellamy C, Costa D, et al. An official American Thoracic Society systematic review: the effect of nighttime intensivist staffing on mortality and length of stay among intensive care unit patients. Am J Respir Crit Care Med. 2017;195(3):383–93.PubMedPubMedCentralGoogle Scholar
  44. 44.
    Angus D. Current and projected workforce requirements for care of the critically ill and patients with pulmonary disease. Can we meet the requirements of an aging population? JAMA. 2000;284(21):2762.PubMedCrossRefPubMedCentralGoogle Scholar
  45. 45.
    Dara S, Afessa B. Intensivist-to-bed ratio. Chest. 2005;128(2):567–72.PubMedCrossRefPubMedCentralGoogle Scholar
  46. 46.
    Lott J, Iwashyna T, Christie J, Asch D, Kramer A, Kahn J. Critical illness outcomes in specialty versus general intensive care units. Am J Respir Crit Care Med. 2009;179(8):676–83.PubMedCrossRefPubMedCentralGoogle Scholar
  47. 47.
    Mirski M, Chang C, Cowan R. Impact of a neuroscience intensive care unit on neurosurgical patient outcomes and cost of care. J Neurosurg Anesthesiol. 2001;13(2):83–92.PubMedCrossRefPubMedCentralGoogle Scholar
  48. 48.
    Diringer M, Edwards D. Admission to a neurologic/neurosurgical intensive care unit is associated with reduced mortality rate after intracerebral hemorrhage. Crit Care Med. 2001;29(3):635–40.PubMedCrossRefPubMedCentralGoogle Scholar
  49. 49.
    Duane T, Rao I, Aboutanos M, Wolfe L, Malhotra A. Are trauma patients better off in a trauma ICU? J Emerg Trauma Shock. 2008;1(2):74.PubMedPubMedCentralCrossRefGoogle Scholar
  50. 50.
    Hillman K. Critical care without walls. Curr Opin Crit Care. 2002;8(6):594–9.PubMedCrossRefPubMedCentralGoogle Scholar
  51. 51.
    DeVita M, Bellomo R, Hillman K, Kellum J, Rotondi A, Teres D, et al. Findings of the first consensus conference on medical emergency teams. Crit Care Med. 2006;34(9):2463–78.PubMedCrossRefPubMedCentralGoogle Scholar
  52. 52.
    Jones D, DeVita M, Bellomo R. Rapid-response teams. N Engl J Med. 2011;365(2):139–46.PubMedCrossRefPubMedCentralGoogle Scholar
  53. 53.
    Durkin S. Implementing a rapid response team. Am J Nurs. 2006;106(10):50–3.PubMedCrossRefPubMedCentralGoogle Scholar
  54. 54.
    Rosenthal G, Sirio C, Shepardson L, Harper D, Rotondi A, Cooper G. Use of intensive care units for patients with low severity of illness. Arch Intern Med. 1998;158(10):1144–51.PubMedCrossRefPubMedCentralGoogle Scholar
  55. 55.
    Dlugacz Y, Stier L, Lustbader D, Jacobs M, Hussain E, Greenwood A. Expanding a performance improvement initiative in critical care from hospital to system. Jt Comm J Qual Improv. 2002;28(8):419–34.PubMedPubMedCentralGoogle Scholar
  56. 56.
    Azoulay É, Pochard F, Chevret S, Vinsonneau C, Garrouste M, Cohen Y, et al. Compliance with triage to intensive care recommendations. Crit Care Med. 2001;29(11):2132–6.PubMedCrossRefPubMedCentralGoogle Scholar
  57. 57.
    Priestley G, Watson W, Rashidian A, Mozley C, Russell D, Wilson J, et al. Introducing critical care outreach: a ward-randomised trial of phased introduction in a general hospital. Intensive Care Med. 2004;30(7):1398.PubMedCrossRefPubMedCentralGoogle Scholar
  58. 58.
    Hillman K, Chen J, Cretikos M, Bellomo R, Brown D, Doig G, et al. Introduction of the medical emergency team (MET) system: a cluster-randomised controlled trial. Lancet. 2005;365(9477):2091–7.PubMedCrossRefPubMedCentralGoogle Scholar
  59. 59.
    Chan P, Jain R, Nallmothu B, Berg R, Sasson C. Rapid response teams. Arch Intern Med. 2010;170(1):18.PubMedCrossRefPubMedCentralGoogle Scholar
  60. 60.
    Winters B, Weaver S, Pfoh E, Yang T, Pham J, Dy S. Rapid-response systems as a patient safety strategy: a systematic review. Ann Intern Med. 2013;158(5 part 2):417–25.PubMedPubMedCentralCrossRefGoogle Scholar
  61. 61.
    Maharaj R, Raffaele I, Wendon J. Rapid response systems: a systematic review and meta-analysis. Crit Care. 2015;19(1):254.PubMedPubMedCentralCrossRefGoogle Scholar
  62. 62.
    Solomon R, Corwin G, Barclay D, Quddusi S, Dannenberg M. Effectiveness of rapid response teams on rates of in-hospital cardiopulmonary arrest and mortality: a systematic review and meta-analysis. J Hosp Med. 2016;11(6):438–45.PubMedCrossRefPubMedCentralGoogle Scholar
  63. 63.
    Salamonson Y, Kariyawasam A, van Heere B, O’Connor C. The evolutionary process of medical emergency team (MET) implementation: reduction in unanticipated ICU transfers. Resuscitation. 2001;49(2):135–41.PubMedCrossRefPubMedCentralGoogle Scholar
  64. 64.
    Bellomo R, Goldsmith D, Uchino S, Buckmaster J, Hart G, Opdam H, et al. Prospective controlled trial of effect of medical emergency team on postoperative morbidity and mortality rates. Crit Care Med. 2004;32(4):916–21.PubMedCrossRefPubMedCentralGoogle Scholar
  65. 65.
    Gurses A, Xiao Y. A systematic review of the literature on multidisciplinary rounds to design information technology. J Am Med Inform Assoc. 2006;13(3):267–76.PubMedPubMedCentralCrossRefGoogle Scholar
  66. 66.
    Weled B, Adzhigirey L, Hodgman T, Brilli R, Spevetz A, Kline A, et al. Critical care delivery. Crit Care Med. 2015;43(7):1520–5.PubMedCrossRefPubMedCentralGoogle Scholar
  67. 67.
    Pronovost P, Berenholtz S, Dorman T, Lipsett P, Simmonds T, Haraden C. Improving communication in the ICU using daily goals. J Crit Care. 2003;18(2):71–5.PubMedCrossRefPubMedCentralGoogle Scholar
  68. 68.
    Shortell S, Zimmerman J, Rousseau D, Gillies R, Wagner D, Draper E, et al. The performance of intensive care units: does good management make a difference? Med Care. 1994;32(5):508–25.PubMedCrossRefPubMedCentralGoogle Scholar
  69. 69.
    Leape L. Pharmacist participation on physician rounds and adverse drug events in the intensive care unit. JAMA. 1999;282(3):267.PubMedCrossRefPubMedCentralGoogle Scholar
  70. 70.
    Dutton R, Cooper C, Jones A, Leone S, Kramer M, Scalea T. Daily multidisciplinary rounds shorten length of stay for trauma patients. J Trauma. 2003;55(5):913–9.PubMedCrossRefPubMedCentralGoogle Scholar
  71. 71.
    Dodek P, Raboud J. Explicit approach to rounds in an ICU improves communication and satisfaction of providers. Intensive Care Med. 2003;29(9):1584–8.PubMedCrossRefPubMedCentralGoogle Scholar
  72. 72.
    Harrison L, Nixon G. Nursing activity in general intensive care. J Clin Nurs. 2002;11(2):158–67.PubMedCrossRefPubMedCentralGoogle Scholar
  73. 73.
    Preslaski C, Lat I, MacLaren R, Poston J. Pharmacist contributions as members of the multidisciplinary ICU team. Chest. 2013;144(5):1687–95.PubMedCrossRefPubMedCentralGoogle Scholar
  74. 74.
    Kleinpell R, Ely E, Grabenkort R. Nurse practitioners and physician assistants in the intensive care unit: an evidence-based review. Crit Care Med. 2008;36(10):2888–97.PubMedCrossRefPubMedCentralGoogle Scholar
  75. 75.
    Kollef M, Shapiro S, Silver P, St. John R, Prentice D, Sauer S, et al. A randomized, controlled trial of protocol-directed versus physician-directed weaning from mechanical ventilation. Crit Care Med. 1997;25(4):567–74.PubMedCrossRefPubMedCentralGoogle Scholar
  76. 76.
    Mathews P, Drumheller L, Carlow J. Respiratory care manpower issues. Crit Care Med. 2006;34(Suppl):S32–45.PubMedCrossRefPubMedCentralGoogle Scholar
  77. 77.
    Taylor B, Renfro A, Mehringer L. The role of the dietitian in the intensive care unit. Curr Opin Clin Nutr Metab Care. 2005;8(2):211–6.PubMedCrossRefPubMedCentralGoogle Scholar
  78. 78.
    Aslakson R, Curtis J, Nelson J. The changing role of palliative care in the ICU. Crit Care Med. 2014;42(11):2418–28.PubMedPubMedCentralCrossRefGoogle Scholar
  79. 79.
    Curtis J, Vincent J. Ethics and end-of-life care for adults in the intensive care unit. Lancet. 2010;376(9749):1347–53.PubMedCrossRefPubMedCentralGoogle Scholar
  80. 80.
    Rose S, Shelton W. The role of social work in the ICU. J Soc Work End Life Palliat Care. 2006;2(2):3–23.PubMedCrossRefPubMedCentralGoogle Scholar
  81. 81.
    Hartman-Shea K, Hahn A, Fritz Kraus J, Cordts G, Sevransky J. The role of the social worker in the adult critical care unit: a systematic review of the literature. Soc Work Health Care. 2011;50(2):143–57.PubMedCrossRefPubMedCentralGoogle Scholar
  82. 82.
    Davidson J, Powers K, Hedayat K, Tieszen M, Kon A, Shepard E, et al. Clinical practice guidelines for support of the family in the patient-centered intensive care unit: American College of Critical Care Medicine task force 2004–2005. Crit Care Med. 2007;35(2):605–22.PubMedCrossRefPubMedCentralGoogle Scholar
  83. 83.
    Adler J, Malone D. Early mobilization in the intensive care unit: a systematic review. Cardiopulm Phys Ther J. 2012;23(1):5–13.PubMedPubMedCentralCrossRefGoogle Scholar
  84. 84.
    Weinreich M, Herman J, Dickason S, Mayo H. Occupational therapy in the intensive care unit: a systematic review. Occup Ther Health Care. 2017;31(3):205–13.PubMedCrossRefPubMedCentralGoogle Scholar
  85. 85.
    Vazirani S, Hays R, Shapiro M, Cowan M. Effect of a multidisciplinary intervention on communication and collaboration among physicians and nurses. Am J Crit Care. 2005;14(1):71–7.PubMedCrossRefPubMedCentralGoogle Scholar
  86. 86.
    O’Leary K, Wayne D, Haviley C, Slade M, Lee J, Williams M. Improving teamwork: impact of structured interdisciplinary rounds on a medical teaching unit. J Gen Intern Med. 2010;25(8):826–32.PubMedPubMedCentralCrossRefGoogle Scholar
  87. 87.
    Pacheco E, Campos I, Seixas J, Conejo S, Vieira H, Mazutti S, et al. Daily multidisciplinary rounds reduce ICU length of stay. Crit Care. 2011;15(Suppl 2):P53.PubMedCentralCrossRefGoogle Scholar
  88. 88.
    Kim M, Barnato A, Anugs D, Fleisher L, Kahn J. The effect of multidisciplinary care teams on intensive care unit mortality. Arch Intern Med. 2010;170(4):369.PubMedPubMedCentralCrossRefGoogle Scholar
  89. 89.
    Lane D, Ferri M, Lemaire J, McLaughlin K, Stelfox H. A systematic review of evidence-informed practices for patient care rounds in the ICU. Crit Care Med. 2013;41(8):2015–29.PubMedCrossRefPubMedCentralGoogle Scholar
  90. 90.
    Giri J, Ahmed A, Dong Y, Keegan M, Herasevich V, Gajic O, et al. Daily intensive care unit rounds: a multidisciplinary perspective. Appl Med Inform. 2013;33(3):63–73.Google Scholar
  91. 91.
    Lyons M, Standley T, Gupta A. Quality improvement of doctors’ shift-change handover in neuro-critical care. Qual Saf Health Care. 2010;19(6):e62.PubMedPubMedCentralGoogle Scholar
  92. 92.
    Zimmerman J, Shortell S, Rousseau D, Duffy J, Gillies R, Knaus W, et al. Improving intensive care. Crit Care Med. 1993;21(10):1443–51.PubMedCrossRefPubMedCentralGoogle Scholar
  93. 93.
    Justice L, Cooper D, Henderson C, Brown J, Simon K, Clark L, et al. Improving communication during cardiac ICU multidisciplinary rounds through visual display of patient daily goals. Pediatr Crit Care Med. 2016;17(7):677–83.PubMedCrossRefPubMedCentralGoogle Scholar
  94. 94.
    Holodinsky J, Hebert M, Zygun D, Rigal R, Berthelot S, Cook D, et al. A survey of rounding practices in Canadian adult intensive care units. PLoS One. 2015;10(12):e0145408.PubMedPubMedCentralCrossRefGoogle Scholar
  95. 95.
    Kaplan L. Standards for education and credentialing in critical care medicine. JAMA. 2011;305(3):296.PubMedCrossRefPubMedCentralGoogle Scholar
  96. 96.
    Tainter C, Wong N, Cudemus-Deseda G, Bittner E. The “flipped classroom” model for teaching in the intensive care unit. J Intensive Care Med. 2016;32(3):187–96.PubMedCrossRefPubMedCentralGoogle Scholar
  97. 97.
    O’Mahony S, Mazur E, Charney P, Wang Y, Fine J. Use of multidisciplinary rounds to simultaneously improve quality outcomes, enhance resident education, and shorten length of stay. J Gen Intern Med. 2007;22(8):1073–9.PubMedPubMedCentralCrossRefGoogle Scholar
  98. 98.
    Centofanti J, Duan E, Hoad N, Swinton M, Perri D, Waugh L, et al. Use of a daily goals checklist for morning ICU rounds. Crit Care Med. 2014;42(8):1797–803.PubMedCrossRefPubMedCentralGoogle Scholar
  99. 99.
    Cao V, Tan L, Horn F, Bland D, Giri P, Maken K, et al. Patient-centered structured interdisciplinary bedside rounds in the medical ICU. Crit Care Med. 2018;46(1):85–92.PubMedCrossRefPubMedCentralGoogle Scholar
  100. 100.
    Merlani P, Verdon M, Businger A, Domenighetti G, Pargger H, Ricou B. Burnout in ICU caregivers. Am J Respir Crit Care Med. 2011;184(10):1140–6.CrossRefGoogle Scholar
  101. 101.
    Manthous C, Nembhard I, Hollingshead A. Building effective critical care teams. Crit Care. 2011;15(4):307.PubMedPubMedCentralCrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Janice Zimmerman
    • 1
  • Mukhtar Al-Saadi
    • 1
  1. 1.Department of MedicineHouston Methodist HospitalHoustonUSA

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