Critical Care: Standards, Audit and Ethics / Edition 1

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Overview

'Critical Care: Standards, Audit and Ethics' brings together the important issues which are topical and relevant to the dilemmas faced by all concerned with the management of critically ill patients. The standards of resources that should be available to deliver this care are discussed, including transport of the critically ill, the design of intensive care units, technical support, and the staffing and training within related disciplines, viewed from a world wide perspective. The authors review and debate: current theories and practice in audit to quantify critical illnesses; the selection of patients; the results of critical care and the quality of survival as well as the cost benefits; the ethics of establishing health care priorities; withholding and withdrawing life-support; the ethical issues of organ donation; clinical research, medico-legal, moral and religious aspects of critical care.

This is the first book to look in depth at the principles and practice of the organisational aspects of intensive care delivery and will be of value to all members of the multidisciplinary Intensive Care team: physicians, nurses, trainees and managers. Every Intensive Care Unit should have a copy.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: David J. Dries, MD (University of Minnesota Medical School)
Description: This is the first edition of a multiauthored hardbound book describing issues defining a standard of care in critical care units.
Purpose: The authors provide an overview of quality assurance, training, and clinical standards guiding practice in the intensive care unit. Limitations of widely accepted technologies and therapies in the intensive care unit are discussed.
Audience: Portions of this book may be useful for hospital managers, theologians, lawyers, support groups and allied health professionals as well as practitioners of intensive care medicine. The authors and editors represent an international group of practitioners and allied health professionals.
Features: This book provides overview statements regarding techniques applied in the provision of critical care support along with staffing and the credentialing guidelines. A third segment of this book describes measurement of propriety and outcome. Concluding is a discussion of ethical issues including access to resources and withdrawing support. Chapters are written from a multinational perspective. Training and qualifications are discussed for both the United States and the United Kingdom. References date to within four years of publication and include original work. The table of contents includes only the chapter titles and authors. A detailed index is provided.
Assessment: As the editors indicate, this book will have appeal to many groups concerned with the management of the critically ill. As a clinician, I found the discussion of technical aspects of critical care to be appropriate and timely. Any reader group may be frustrated by diminished relevance of large portions of this text, however. With added detail, each of the divisions in this book could stand alone as a focused monograph.
David J. Dries
This is the first edition of a multiauthored hardbound book describing issues defining a standard of care in critical care units. The authors provide an overview of quality assurance, training, and clinical standards guiding practice in the intensive care unit. Limitations of widely accepted technologies and therapies in the intensive care unit are discussed. Portions of this book may be useful for hospital managers, theologians, lawyers, support groups and allied health professionals as well as practitioners of intensive care medicine. The authors and editors represent an international group of practitioners and allied health professionals. This book provides overview statements regarding techniques applied in the provision of critical care support along with staffing and the credentialing guidelines. A third segment of this book describes measurement of propriety and outcome. Concluding is a discussion of ethical issues including access to resources and withdrawing support. Chapters are written from a multinational perspective. Training and qualifications are discussed for both the United States and the United Kingdom. References date to within four years of publication and include original work. The table of contents includes only the chapter titles and authors. A detailed index is provided. As the editors indicate, this book will have appeal to many groups concerned with the management of the critically ill. As a clinician, I found the discussion of technical aspects of critical care to be appropriate and timely. Any reader group may be frustrated by diminished relevance of large portions of this text, however. With added detail, each of the divisions in this book couldstand alone as a focused monograph.

2 Stars from Doody
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Product Details

  • ISBN-13: 9780340554241
  • Publisher: Taylor & Francis
  • Publication date: 1/1/1996
  • Series: A Hodder Arnold Publication Series
  • Edition number: 1
  • Pages: 424
  • Product dimensions: 8.13 (w) x 11.06 (h) x 1.14 (d)

Table of Contents

Part 1 Critical care - The history of critical care
Critical care today
The development, utilization and cost implications of intensive care medicine - strategies for the future
Part 2 Resource standards - Primary and mobile care: land, sea, and air
General care units
Specialist care units
Non-invasive monitoring
Invasive monitoring
Imaging
The laboratory
Respiratory support
Cardiac support
Renal support
Staff and training: medical
nursing
respiratory and physical
scientific and technical
Part 3 Audit - The process of clinical audit
Quantifying critical illness
Selection of patients for critical care
Results of critical care and quality of survival
Evaluating costs and benefits
Part 4 Ethics - Establishing health care priorities
Withholding and withdrawing life support
Ethical issues of organ donation
Clinical research in critical care
Medico-legal aspects of critical care
Moral and religious dilemmas
Index
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