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Organisation and management



Intended Learning Outcomes

Organisation and management

  1. Understand organisational factors that are associated with improved ICU performance, patient safety and outcome
  2. Understand the importance of managing and leading in intensive care
  3. Describe key functions of a physician-manager and physician-leader
  4. Use leadership and team building to solve problems and improve ICU performance


eModule Information

Relevant Competencies from CoBaTrICE

Organisation and management
  • Principles of local / national health care provision; strategic planning of the ICU service (structure, function, financing) within the wider health care environment
  • Roles of different members of the multidisciplinary team and local referral practices
  • Principles of risk prevention
  • Common sources of error and factors which contribute to critical incidents / adverse events (ICU environment, personnel, equipment, therapy and patient factors)
  • The non-clinical role of the ICU specialist and how these activities contribute to the efficacy of the ICU, the profile of the ICU within the hospital and the quality of patient management
  • Physical requirements of ICU design
  • Process and outcome measurement
  • Principles of administration and management
  • Principles of crisis management, conflict resolution, negotiation and debriefing
  • Principles of workforce planning
  • Principles of health economics, departmental budgeting, financial management and preparation of a business plan
  • Factors that determine the optimum staff establishment for specialist and junior medical staff, nurses and allied professional and non-clinical ICU staff
  • Local policies and procedures relevant to practice
  • Methods of effective communication of information (written; verbal etc)
  • Published standards of care at local, national and international level (including consensus statements and care bundles)
  • Principles of national / local health care legislation applicable to ICM practice
  • Purpose and process of quality improvement activities such as evidence based practice, best practice guidelines & benchmarking and change management
  • Purpose and methods of clinical audit (e.g. mortality reviews, complication rates)
  • Professional responsibility and duty of care to patients placed at risk by the actions of fellow clinicians
  • Plan of action / local procedures to be followed when a health care worker is noticed to be in distress, whether or not patients are considered to be at risk
Skills & Behaviours
  • Consult and take into account the views of referring clinicians; promote their participation in decision making where appropriate
  • Lead, delegate and supervise others appropriately according to experience and role
  • Demonstrate initiative in problem solving
  • Organise multidisciplinary care for groups of patients in the ICU
  • Collaborate with other team members to achieve common goals
  • Listen effectively
  • Professional and reassuring approach - generates confidence and trust in patients and their relatives
  • Propose realistic initiatives / projects to promote improvement
  • Aware of relevant guidelines and consensus statements and apply these effectively in every day practice under local conditions
  • Seek expert help to ensure all equipment in the ICU conforms with and is maintained to the relevant safety standard
  • Implement and evaluate protocols and guidelines
  • Document adverse incidents in a timely, detailed and appropriate manner
  • Participate in the processes of clinical audit, peer review and continuing medical education
  • Respect, acknowledge & encourage the work of others
  • Demonstrate an interest in quality control, audit and reflective practice
  • Manage inter-personal conflicts which arise between different sectors of the organisation, professionals, patients or relatives
  • Inform colleagues, patients and relatives as applicable, of medical errors or adverse events in an honest and appropriate manner
  • Accepts responsibility for patient care and staff supervision
  • Recognises impaired performance (limitations) in self and colleagues and takes appropriate action
  • Recognises personal limitations, seeks and accepts assistance or supervision (knows how, when and who to ask)
  • Consults, communicates and collaborates effectively with patients, relatives and the health care team
  • Desire to minimise patient distress
  • Seeks to modify the stresses which the intensive care environment places upon patients, their relatives and members of staff
  • Establishes collaborative relations with other health care providers to promote continuity of patient care as appropriate
  • Ensures effective information transfer
  • Adopts a problem solving approach
  • Enquiring mind, undertakes critical analysis of published literature