Critical care without walls.

'Not quite Jericho, but more doors than there used to be'. Staff views of the impact of 'modernization' on boundaries around adult critical care services in England.

OBJECTIVES To explore staff perceptions of the impact of 'modernization' on the organization, delivery and culture of adult critical care services in England. 'Modernization' policies aimed to alter the boundaries around critical care and create a comprehensive, seamless service. METHODS Seven hospitals (three teaching and four district general hospitals) in three critical care networks parti...

Video laryngoscopy and intubation safety: the view is becoming clear.

Critical Shortages Create Opportunities for Critical Care Anesthesiologists

Critical care medicine remains an integral part of inpatient care in every hospital and, with the aging population and advances in clinical care, the need for critical care physicians will continue to expand. As a result, the opportunities for anesthesiologists with subspecialty training in critical care medicine will continue to grow. There are predictions that the demand for highly trained cr...

Intensive care unit without walls: seeking patient safety by improving the efficiency of the system.

The term "ICU without walls" refers to innovative management in Intensive Care, based on two key elements: (1) collaboration of all medical and nursing staff involved in patient care during hospitalization and (2) technological support for severity early detection protocols by identifying patients at risk of deterioration throughout the hospital, based on the assessment of vital signs and/or la...

Teams without walls: the future of care closer to home.

traditionally worked together for the benefit of their patients. In recent years, however, this relationship has been strained with a palpable split between primary and secondary care. Now things are changing once more and new life is being given to the notion that consultants and GPs should again work closely together. A 2006 Department of Health report, Our health, our care, our say, proposed...