ABSTRACT
No disponible
Subject(s)
Humans , Critical Care/trends , Intensive Care Units/trends , Patient Care Team , Anesthesia/trends , SpainABSTRACT
ANTECEDENTES Y OBJETIVO: Los objetivos de la Sección de Cuidados Intensivos de la Sociedad Española de Anestesiología, Reanimación y Terapéutica del Dolor (SCI-SEDAR) con el presente trabajo son: establecer nuevas recomendaciones adaptando los estándares publicados por el Ministerio de Sanidad y Política Social, y alineadas con las principales guías internacionales, y desarrollar una herramienta de mejora de la calidad y la eficiencia. MATERIALES Y MÉTODO: A lo largo de 2018, 3 miembros de la SCI-SEDAR definieron la metodología, desarrollaron las recomendaciones y seleccionaron al panel de expertos. Debido a la limitada evidencia de buena parte de las recomendaciones y a la importante variabilidad estructural de las unidades de cuidados intensivos de anestesia actuales, se optó por un abordaje Delphi modificado para determinar el grado de consenso. RESULTADOS: Un total de 24 expertos de 21 instituciones constituyeron el grupo de expertos del presente trabajo. Se establecieron 175 recomendaciones sobre 8 apartados, incluyendo 129 con consenso fuerte y 46 con consenso débil. CONCLUSIONES: La SCI-SEDAR estableció las recomendaciones estructurales de las unidades de cuidados intensivos de anestesia que deberán guiar la renovación o la creación de nuevas unidades
BACKGROUND AND OBJECTIVE: In this article, the Intensive Care Section of the Spanish Society of Anesthesiology (SCI-SEDAR) establishes new recommendations based on the standards published by the Ministry of Health, Consumer Affairs and Social Welfare and aligned with the principle international guidelines, and develops a tool to improve quality and efficiency. MATERIALS AND METHOD: Over a 12-month period (2018), 3 members of the SCI-SEDAR defined the methodology, developed the recommendations and selected the panel of experts. Due to the limited evidence available for many of the recommendations and the significant structural differences between existing anesthesia intensive care units, we chose a modified Delphi approach to determine the degree of consensus. RESULTS: The panel consisted of 24 experts from 21 institutions. The group put forward 175 recommendations on 8 sections, including 129 with strong consensus and 46 with weak consensus. CONCLUSIONS: The SCI-SEDAR has established a series of structural recommendations that should be used when renovating or creating new anesthesia intensive care units
Subject(s)
Humans , Anesthesiology/standards , Consensus , Facility Design and Construction/standards , Intensive Care Units/standards , Anesthesia , Anesthesiology/legislation & jurisprudence , Architectural Accessibility/legislation & jurisprudence , Architectural Accessibility/standards , Delphi Technique , Facility Design and Construction/legislation & jurisprudence , Hospital Bed Capacity/standards , Household Work , Housekeeping, Hospital/standards , Intensive Care Units/legislation & jurisprudence , Interior Design and Furnishings/standards , Laundry Service, Hospital/standards , Lighting/standards , Patients' Rooms/legislation & jurisprudence , Patients' Rooms/standards , Quality Improvement , Societies, Medical , SpainABSTRACT
BACKGROUND AND OBJECTIVE: In this article, the Intensive Care Section of the Spanish Society of Anesthesiology (SCI-SEDAR) establishes new recommendations based on the standards published by the Ministry of Health, Consumer Affairs and Social Welfare and aligned with the principle international guidelines, and develops a tool to improve quality and efficiency. MATERIALS AND METHOD: Over a 12-month period (2018), 3 members of the SCI-SEDAR defined the methodology, developed the recommendations and selected the panel of experts. Due to the limited evidence available for many of the recommendations and the significant structural differences between existing anesthesia intensive care units, we chose a modified Delphi approach to determine the degree of consensus. RESULTS: The panel consisted of 24 experts from 21 institutions. The group put forward 175 recommendations on 8 sections, including 129 with strong consensus and 46 with weak consensus. CONCLUSIONS: The SCI-SEDAR has established a series of structural recommendations that should be used when renovating or creating new anesthesia intensive care units.
Subject(s)
Anesthesiology/standards , Consensus , Facility Design and Construction/standards , Intensive Care Units/standards , Anesthesia , Anesthesiology/legislation & jurisprudence , Architectural Accessibility/legislation & jurisprudence , Architectural Accessibility/standards , Delphi Technique , Facility Design and Construction/legislation & jurisprudence , Hospital Bed Capacity/standards , Household Work , Housekeeping, Hospital/standards , Humans , Intensive Care Units/legislation & jurisprudence , Interior Design and Furnishings/standards , Laundry Service, Hospital/standards , Lighting/standards , Patients' Rooms/legislation & jurisprudence , Patients' Rooms/standards , Quality Improvement , Societies, Medical , SpainABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Critical Care , Consensus , Societies, Medical/standards , Anesthesiology/methods , Anesthesiology/standards , Quality Assurance, Health Care/standards , Quality of Health Care/standardsSubject(s)
Anesthesia/standards , Critical Care/standards , Anesthesiology , Humans , Practice Guidelines as Topic , Societies, Medical , SpainABSTRACT
No disponible
Subject(s)
Humans , Male , Female , Aged , Vena Cava, Superior , Pacemaker, Artificial , Catheterization, Central Venous , Heart DiseasesSubject(s)
Pacemaker, Artificial , Catheterization, Central Venous , Heart Diseases , Humans , Vena Cava, SuperiorABSTRACT
No disponible