, Volume 37, Issue 10, pp 1569-1571
Date: 15 Sep 2011

ICU structures and organization: putting together all the pieces of a very complex puzzle

This is an excerpt from the content

During the first decade of this century, many industrialized countries have witnessed significant changes in the dimensions that delineate the context in which healthcare professionals practice. These are times when we need to look back and re-examine whether the system of care that has developed still meets the needs of the population it intends to serve. This is especially true for our young yet mature specialty of intensive care, which relies on highly organized and dedicated teams to treat the most vulnerable patients in a challenging environment.

It has been 25 years since Knaus taught us that efficient and effective intensive care teams are those that prioritize the organization and distribution of skilled professionals over and above individuals, magic bullets or technology [1]. This may now be more true than ever, as we recognize that quality and safety require an appropriate environment for the skilled and trained specialists to work as teams and deliver optimal care for patien ...

This editorial refers to the article available at: doi:10.1007/s00134-011-2300-7.