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Warncke, G; Hoffmann, F; Sasse, M; Singer, G; Szilagyi, I; Till, H; Castellani, C.
A multinational survey on the infrastructural quality of paediatric intensive care units.
Ann Intensive Care. 2018; 8(1):105-105
Doi: 10.1186/s13613-018-0451-1
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- Leading authors Med Uni Graz
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Warncke Gert
- Co-authors Med Uni Graz
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Castellani Christoph
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Singer Georg
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Szilagyi Istvan - Szilard
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Till Holger
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- Abstract:
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The aim of the present study was to assess whether paediatric intensive care units (PICUs) in three central European countries comply with guidelines concerning infrastructure provided by the European Society of Intensive Care Medicine (ESICM). Between July 2016 and May 2017, a survey was conducted based on the ESICM guidelines. The questionnaire was structured into four categories: structural quality, diagnostic/therapeutic equipment, personnel and organization. All PICUs treating paediatric patients in the D-A-CH region [Germany (D), Austria (A) and Switzerland (CH)] were researched through the national societies. A total of 126 PICUs were contacted (D: 106; A: 12; and CH: 8).
Eighty-five of 126 PICUs responded (D: 67%; A: 61%; and CH: 100%). A median of 500 patients was treated annually (D: 500; A: 350; and CH: 600) with a median of 12 beds (D: 12; A: 8; and CH: 12). Recommendations regarding infrastructure were met as follows: structural quality 62% in D, 71% in A and 75% in CH; diagnostic/therapeutic equipment: 87% in D, 91% in A and 89% in CH; personnel: 65% in D, 87% in A and 85% in CH; and organization: 75% in D, 73% in A and 88% in CH.
This survey reveals deficits concerning structural quality in all countries. Furthermore, shortcomings regarding personnel were found in Germany and for organization in Germany and Austria. These issues need to be addressed urgently to further improve treatment quality and patient safety in the future.
- Find related publications in this database (Keywords)
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Paediatric
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Intensive care
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Quality management
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Personnel
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Organization
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Infrastructure