The Relationship between the Surgeon and the Intensivist in the Surgical Intensive Care Unit
Autor: | Patricia A. Penkoske, Timothy G. Buchman |
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Rok vydání: | 2006 |
Předmět: |
Critical Care
Interprofessional Relations MEDLINE Intensivist Surgical intensive care unit Unit (housing) law.invention Conflict Psychological Clinical Protocols law Conflict resolution Medical Staff Hospital medicine Humans Referral and Consultation business.industry medicine.disease Dissent and Disputes Intensive care unit Social research Intensive Care Units Ethics Clinical General Surgery Models Organizational Workforce Surgery Medical emergency business |
Zdroj: | Surgical Clinics of North America. 86:1351-1357 |
ISSN: | 0039-6109 |
DOI: | 10.1016/j.suc.2006.09.001 |
Popis: | When a patient enters the intensive care unit, the admitting surgeon also enters a new environment. In some hospitals, the surgical intensive care unit (SICU) is "closed"--critical care providers manage care; in others the unit is "open," and the admitting surgeon is in charge. A third system is the "mixed" model of ICU administration; a collaborative approach. This article addresses concerns and conflicts that frequently arise between admitting surgeons and intensivists. It is written from the perspective of two surgeon-intensivists who have been in both roles. Recent behavioral and social research on ICU conflicts and their resolution is reviewed, and and new strategies for conflict resolution are also presented. |
Databáze: | OpenAIRE |
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