Peer reviewing critical care: a pragmatic approach to quality management.
Critical care medicine frequently involves decisions and measures that may result in significant consequences for patients. In particular, mistakes may directly or indirectly derive from daily routine processes. In addition, consequences may result from the broader pharmaceutical and technological treatment options, which frequently involve multidimensional aspects. The increasing complexity of pharmaceutical and technological properties must be monitored and taken into account. Besides the presence of various disciplines involved, the provision of 24-hour care requires multiple handovers of significant information each day. Immediate expert action that is well coordinated is just as important as a professional handling of medicine's limitations.Intensivists are increasingly facing professional quality management within the ICU (Intensive Care Unit). This article depicts a practical and effective approach to this complex topic and describes external evaluation of critical care according to peer reviewing processes, which have been successfully implemented in Germany and are likely to gain in significance.
Dept. of Anaesthesiology and Surgical Intensive Care Medicine, Charité - University Medicine Berlin, Germany. jan.braun@charite.de
Jan-Peter
JP
Braun
Hanswerner
H
Bause
Frank
F
Bloos
Götz
G
Geldner
Marc
M
Kastrup
Ralf
R
Kuhlen
Andreas
A
Markewitz
Jörg
J
Martin
Hendrik
H
Mende
Michael
M
Quintel
Klaus
K
Steinmeier-Bauer
Christian
C
Waydhas
Claudia
C
Spies
D003422:Critical Care / Q000592:standards*; D005858:Germany; D010380:Peer Review / Q000379:methods* / Q000592:standards*; D011785:Quality Assurance, Health Care / Q000592:standards*