Auditing quality of care in the intensive care unit
Case In a university hospital, the full-time dedicated medical director (MD) of the surgical ICU (SICU) is an anaesthesiologist who specialized in intensive care medicine. Since about 20 years ago, the MD has faced an increasing amount of clinical and administrative work, at the same time there is a chronic shortage of medical staff, resulting in his frequent enrolment in the 24-h coverage of the unit. Due to the work overload, he is often too demanding of the nursing staff. The major problem, however, is the conflict (on clinical grounds and concerning areas of competence in the ICU) with the head of the Department of Anaesthesia, and often with surgeons.
KeywordsContinuous Quality Improvement Audit Quality Rule Structure Internal Audit Governance Process
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