customers’ expectations while being cost conscious and efficient. Satisfaction is typically measured by satisfaction surveys that patients complete about their recent hospital experience. However, assessing patient satisfaction in critical care environments becomes complicated. Often patients are not making decisions related to their own care because of their severity of illness and level of co...

conclusions intelligence care is a comprehensive strategy that in addition to recognizing barriers and bridges of nursing care, with predisposing and precipitating forces it can convert barriers to bridges. results intelligence care emerged as a main theme, has a broad spectrum of categories and subcategories with bridges and barriers, including equality of bridges and barriers (contingency car...

The provision of high quality, patient-centered care for critically ill patients and their families is grounded in clinical knowledge and enhanced by effective health care teams. Three important and interrelated factors influence the application of clinical knowledge at the bedside. First, each member of the health care team possesses personal knowledge. Second, the team as a whole has knowledg...

Introduction Despite reduced mortality and increasing survival rate of ICU treatment, a large group of patients surviving the ICU have a variety of complaints. Survivors of critical illness can undergo dramatic changes in their lives as a result of their experience, with many having some form of deficit in one or more domains of physical, psychological or cognitive functioning. There is still m...

Introduction Th e research of this decade has yielded substantial improvements in the delivery of and technology with which to provide care for critically ill intensive care unit (ICU) patients. Garnering less attention from the medical and scientifi c community is the environment in which that care is provided, which remains impersonal, noisy, and over illuminated. Noticeably, the nursing and ...

There is important variation in the care of critically ill patients. While some of this variability is appropriate, and represents individually titrated care, residual variation indicates overand under-use of precious resources and is clearly concerning. Recent advances in critical care medicine provide “road maps” to standardize care and use evidence-based medicine to improve patient outcomes....

EDITORIAL Over the past few years, the intensive care field in our country has increased in terms of both volume and quality. There is now a huge community of healthcare professionals in more than 2,500 intensive care units throughout the country. This dissemination of our specialty has also been associated with an increased interest in research participation and the generation of knowledge tha...

PURPOSE Clinical pharmacist (CP) interventions from the PROTECTED-UK cohort, a multi-site critical care interventions study, were further analysed to assess effects of: time on critical care, number of interventions, CP expertise and days of week, on impact of intervention and ultimately contribution to patient care. METHODS Intervention data were collected from 21 adult critical care units o...

Critical care training during paediatric residency provides an ideal opportunity to learn and refine the skills needed in the early recognition and prompt treatment of the acutely ill paediatric patients. Paediatric critical care medicine is a relatively young sub-specialty in Pakistan. The aim of this study is to describe our experience of teaching paediatric residents in paediatric critical c...