Intensive Care Medicine

, Volume 36, Supplement 1, pp 21–31

Chapter 3. Coordination and collaboration with interface units

  • Gavin M. Joynt
  • Shi Loo
  • Bruce L. Taylor
  • Gila Margalit
  • Michael D. Christian
  • Christian Sandrock
  • Marion Danis
  • Yuval Leoniv
  • Charles L. Sprung
Article

DOI: 10.1007/s00134-010-1762-3

Cite this article as:
Joynt, G.M., Loo, S., Taylor, B.L. et al. Intensive Care Med (2010) 36: 21. doi:10.1007/s00134-010-1762-3

Abstract

Purpose

To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on enhancing coordination and collaboration between the ICU and other key stakeholders.

Methods

Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including coordination and collaboration.

Results

Key recommendations include: (1) establish an Incident Management System with Emergency Executive Control Groups at facility, local, regional/state or national levels to exercise authority and direction over resource use and communications; (2) develop a system of communication, coordination and collaboration between the ICU and key interface departments within the hospital; (3) identify key functions or processes requiring coordination and collaboration, the most important of these being manpower and resources utilization (surge capacity) and re-allocation of personnel, equipment and physical space; (4) develop processes to allow smooth inter-departmental patient transfers; (5) creating systems and guidelines is not sufficient, it is important to: (a) identify the roles and responsibilities of key individuals necessary for the implementation of the guidelines; (b) ensure that these individuals are adequately trained and prepared to perform their roles; (c) ensure adequate equipment to allow key coordination and collaboration activities; (d) ensure an adequate physical environment to allow staff to properly implement guidelines; (6) trigger events for determining a crisis should be defined.

Conclusions

Judicious planning and adoption of protocols for coordination and collaboration with interface units are necessary to optimize outcomes during a pandemic.

Keywords

Coordination and collaborationRecommendationsStandard operating proceduresIntensive care unitHospitalH1N1Influenza epidemicPandemicDisaster

Copyright information

© Copyright jointly hold by Springer and ESICM 2010

Authors and Affiliations

  • Gavin M. Joynt
    • 1
  • Shi Loo
    • 2
  • Bruce L. Taylor
    • 3
  • Gila Margalit
    • 4
  • Michael D. Christian
    • 5
  • Christian Sandrock
    • 6
  • Marion Danis
    • 7
  • Yuval Leoniv
    • 8
  • Charles L. Sprung
    • 9
  1. 1.Department of Anesthesia and Intensive CareThe Chinese University of Hong Kong, Prince of Wales HospitalHong KongPeople’s Republic of China
  2. 2.Department of AnaesthesiologyTan Tock Seng HospitalSingaporeSingapore
  3. 3.Department of Critical CarePortsmouth Hospitals NHS TrustPortsmouthUK
  4. 4.Department of Emergency ServicesSheba Medical CenterTel HashomerIsrael
  5. 5.Department of Medicine, Infectious Diseases and Critical CareMount Sinai Hospital and University Health Network, University of TorontoTorontoCanada
  6. 6.Intensive Care Unit, Division of Pulmonary and Critical Care Medicine and Infectious DiseasesUC Davis School of MedicineSacramentoUSA
  7. 7.Department of BioethicsClinical Center of the National Institutes of HealthBethesdaUSA
  8. 8.Department of Anesthesiology and Critical Care MedicineSheba Medical CenterTel HashomerIsrael
  9. 9.Department of Anesthesiology and Critical Care MedicineHadassah Hebrew University Medical CenterJerusalemIsrael