Abstract
Effectiveness and efficiency of care of the critically ill patient are subject to a number of systemic influences, including skills of individual physicians/nurses (technical and non-technical), team-working in the intensive care unit (ICU), and the ICU environment. We first discuss the paper of Fackler and colleagues as a contribution to the systems approach to clinical performance in the context of intensive care. We then highlight features of care delivery that are unique to intensive care and discuss the need for better understanding of human and non-human elements of the system of care of the critically ill patient as a driver for improvement of care delivery.
Highlights
2. uncertainty management 3. creation and transfer of stories 4. team coordination 5. team communication 6. fragmentary teams 7. shifting teams 8. increasing shift handovers 9. role ambiguity 10. external collaborators
The authors used a range of well-established behavioural science tools and methods to study how tasks are allocated in the clinical environment of the intensive care unit (ICU)
These categories cover a range of skills and tasks required for effective and efficient delivery of care in the ICU
Summary
2. uncertainty management 3. creation and transfer of stories 4. team coordination 5. team communication 6. fragmentary teams 7. shifting teams 8. increasing shift handovers 9. role ambiguity 10. external collaborators. The authors used a range of well-established behavioural science tools and methods (cognitive task analysis and observations) to study how tasks are allocated in the clinical environment of the intensive care unit (ICU). These categories cover a range of skills (for example, storybuilding and story-telling and intra-team and inter-team communication) and tasks (for example, handovers) required for effective and efficient delivery of care in the ICU.
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