Modern Intensive Care Unit Design : A Literature Review

Modern Intensive Care Unit Design : A Literature Review

Authors

  • Andryadi Wijaya Department of Anesthesiology and Intensive Therapy, Dr. Sardjito Central General Hospital, Special Region of Yogyakarta, Indonesia
  • Akhmad Yun Jufan Department of Anesthesiology and Intensive Therapy, Dr. Sardjito Central General Hospital, Special Region of Yogyakarta, Indonesia
  • Bowo Adiyanto Department of Anesthesiology and Intensive Therapy, Dr. Sardjito Central General Hospital, Special Region of Yogyakarta, Indonesia

Keywords:

Critical Care, Design, Health Technology, Intensive Care Unit, Management

Abstract

The need for Intensive Care Units (ICUs) continues to increase over time. In Canada, 11% of hospitalized patients are referred to the ICU, while in the United States, up to half of the population receives ICU care in their last year of life. Standardization of ICU design and operations is considered essential for efficiency and high-quality patient care. The ICU is a clinical care unit to monitor and support the vital functions of potentially life-threatening critical patients. The organization and management of critical care services are key components that contribute to ICU performance and can impact patient outcomes and healthcare costs. Modern ICU design should consider various elements such as layout, isolation rooms, staff areas, and family rooms. Technological developments such as Smart ICU and the ICU Without Walls concept demonstrate innovation in efficiency improvement and patient safety. The continuity of care activities in the ICU requires skilled human resources, adequate facilities, effective management, and a deep understanding of good ICU design. Technology integration and multidisciplinary approaches are essential to optimize critical patient care and improve clinical outcomes.

References

Rhodes A, Moreno RP, Chiche JD. ICU structures and organization: putting together all the pieces of a very complex puzzle. Vol. 37, Intensive care medicine. United States; 2011. hal. 1569–71.

Sarode V, Hawker F. Design and organisation of intensive care units. In 2014. hal. 3-9.e2.

Garland A, Olafson K, Ramsey CD, Yogendran M, Fransoo R. Epidemiology of critically ill patients in intensive care units: a population-based observational study. Crit Care. September 2013;17(5):R212.

Nawaz FA, Deo N, Surani S, Maynard W, Gibbs ML, Kashyap R. Critical care practices in the world: Results of the global intensive care unit need assessment survey 2020. World J Crit care Med. Mei 2022;11(3):169–77.

Ferri M, Zygun DA, Harrison A, Stelfox HT. Evidence-based design in an intensive care unit: end-user perceptions. BMC Anesthesiol. April 2015;15:57.

Esper AM, Arabi YM, Cecconi M, Du B, Giamarellos-Bourboulis EJ, Juffermans N, et al. Systematized and efficient: organization of critical care in the future. Crit Care. November 2022;26(1):366.

Weled BJ, Adzhigirey LA, Hodgman TM, Brilli RJ, Spevetz A, Kline AM, et al. Critical Care Delivery: The Importance of Process of Care and ICU Structure to Improved Outcomes: An Update From the American College of Critical Care Medicine Task Force on Models of Critical Care. Crit Care Med. Juli 2015;43(7):1520–5.

Pastores SM, Dakwar J, Halpern NA. Costs of critical care medicine. Crit Care Clin. Januari 2012;28(1):1–10, v.

Pronovost PJ, Angus DC, Dorman T, Robinson KA, Dremsizov TT, Young TL. Physician staffing patterns and clinical outcomes in critically ill patients: a systematic review. JAMA. November 2002;288(17):2151–62.

Halpern NA. Design of the ICU [Internet]. Webb A, Angus D, Finfer S, Gattinoni L, Singer M, editor. Oxford Textbook of Critical Care. Oxford University Press; 2016. hal. 0. Tersedia pada: https://doi.org/10.1093/med/9780199600830.003.0001

Abella Álvarez A, Torrejón Pérez I, Enciso Calderón V, Hermosa Gelbard C, Sicilia Urban JJ, Ruiz Grinspan M, et al. ICU without walls project. Effect of the early detection of patients at risk. Med intensiva. 2013;37(1):12–8.

Gordo F, Abella A. Intensive care unit without walls: seeking patient safety by improving the efficiency of the system. Med intensiva. Oktober 2014;38(7):438–43.

Gershengorn HB, Harrison DA, Garland A, Wilcox ME, Rowan KM, Wunsch H. Association of Intensive Care Unit Patient-to-Intensivist Ratios With Hospital Mortality. JAMA Intern Med. Maret 2017;177(3):388–96.

Pastores SM, Kvetan V. Governance. In: Oropello JM, Pastores SM, Kvetan V, editor. Critical Care [Internet]. New York, NY: McGraw-Hill Education; 2016. Tersedia pada: http://accessanesthesiology.mhmedical.com/content.aspx?aid=1136418634

College of Intensive Care Medicine of Australia and New Zealand. Statement on The Roles of Intensive Care Specialists in Hospitals. Coll Intensive Care Med. 2023;2:1–14.

Rani R, Sharma SK, Gupta MK. Standard workload-based estimation of nursing manpower requirement in the ICU of a tertiary care teaching hospital: A time and motion study. J Educ Health Promot. 2023;12:61.

Kim Y, Kim SH. The Relationship of Nurse and Physician Staffing in Intensive Care Units with Patient Outcomes in Postoperative Patients on Ventilators: An Analysis Using Korean National Health Insurance Data. Healthc (Basel, Switzerland). April 2023;11(8).

Ferdinande P. Recommendations on minimal requirements for Intensive Care Departments. Members of the Task Force of the European Society of Intensive Care Medicine. Intensive Care Med. Februari 1997;23(2):226–32.

van der Sluis FJ, Slagt C, Liebman B, Beute J, Mulder JWR, Engel AF. The impact of open versus closed format ICU admission practices on the outcome of high risk surgical patients: a cohort analysis. BMC Surg. Agustus 2011;11:18.

Martinez RH, Liu KD, Aldrich JM. Overview of the Medical Management of the Critically Ill Patient. Clin J Am Soc Nephrol. Desember 2022;17(12):1805–13.

Wheeler KE, Grilli R, Centofanti JE, Martin J, Gelinas C, Szumita PM, et al. Adjuvant Analgesic Use in the Critically Ill: A Systematic Review and Meta-Analysis. Crit care Explor. Juli 2020;2(7):e0157.

Devlin JW, Skrobik Y, Gélinas C, Needham DM, Slooter AJC, Pandharipande PP, et al. Clinical Practice Guidelines for the Prevention and Management of Pain, Agitation/Sedation, Delirium, Immobility, and Sleep Disruption in Adult Patients in the ICU. Crit Care Med. September 2018;46(9):e825–73.

Hopkins RO, Suchyta MR, Farrer TJ, Needham D. Improving post-intensive care unit neuropsychiatric outcomes: understanding cognitive effects of physical activity. Am J Respir Crit Care Med. Desember 2012;186(12):1220–8.

Klein K, Pepe P. Pre- and inter-hospital transport of the critically ill and injured. In 2016. hal. 19–23.

Mueller SK, Fiskio J, Schnipper J. Interhospital Transfer: Transfer Processes and Patient Outcomes. J Hosp Med. Agustus 2019;14(8):486–91.

Kulshrestha A, Singh J. Inter-hospital and intra-hospital patient transfer: Recent concepts. Indian J Anaesth. Juli 2016;60(7):451–7.

Mazer J, Levy MM. Policies, bundles, and protocols in critical care [Internet]. Webb A, Angus D, Finfer S, Gattinoni L, Singer M, editor. Oxford Textbook of Critical Care. Oxford University Press; 2016. hal. 0. Tersedia pada: https://doi.org/10.1093/med/9780199600830.003.0017

Anderson D, Halpern N. Contemporary ICU Design. In 2016. hal. 539–49.

Nestor C. Critical conditions. A real-world look at features and technologies for the ICU. Health Facil Manage. Agustus 2005;18(8):25–9.

Kesecioglu J, Schneider MME, van der Kooi AW, Bion J. Structure and function: planning a new ICU to optimize patient care. Curr Opin Crit Care. Desember 2012;18(6):688–92.

Slater L, Lipsett P. Environmental decontamination and isolation strategies in the ICU. In 2016. hal. 1359–62.

Scheunemann LP, Arnold RM. Communication with patients and families in the ICU [Internet]. Webb A, Angus D, Finfer S, Gattinoni L, Singer M, editor. Oxford Textbook of Critical Care. Oxford University Press; 2016. hal. 0. Tersedia pada: https://doi.org/10.1093/med/9780199600830.003.0011

White ST, Cardenas YR, Nates JL. What every intensivist should know about intensive care unit admission criteria. Rev Bras Ter intensiva. 2017;29(4):414–7.

Jackson M, Cairns T. Care of the critically ill patient. Surg (Oxford, Oxfordshire). Januari 2021;39(1):29–36.

Haupt MT, Bekes CE, Brilli RJ, Carl LC, Gray AW, Jastremski MS, et al. Guidelines on critical care services and personnel: Recommendations based on a system of categorization of three levels of care. Crit Care Med. November 2003;31(11):2677–83.

Devita M, De Salvo R, Ravelli A, De Rui M, Coin A, Sergi G, et al. Recognizing Depression in the Elderly: Practical Guidance and Challenges for Clinical Management. Neuropsychiatr Dis Treat. 2022;18:2867–80.

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Published

2024-09-28

How to Cite

Wijaya, Andryadi, Akhmad Yun Jufan, and Bowo Adiyanto. 2024. “Modern Intensive Care Unit Design : A Literature Review”. The International Journal of Medical Science and Health Research 4 (4): 39-67. https://doi.org/10.70070/h3b92933.