• Journal of critical care · Jun 2008

    Multicenter Study

    Assessing organizational performance in intensive care units: a French experience.

    • Etienne Minvielle, Philippe Aegerter, Benoît Dervaux, Ariane Boumendil, Aurélia Retbi, Marie Claude Jars-Guincestre, Bertrand Guidet, and CUB-REA network.
    • Centre for Medical Research, Medicine, Health and Society (INSERM U750/CNRS 8169), 94276 Le Kremlin-Bicêtre cedex, France. minviel@kb.inserm.fr <minviel@kb.inserm.fr>
    • J Crit Care. 2008 Jun 1;23(2):236-44.

    ObjectiveThe objective of the study was to assess and to explain variation of organizational performance in intensive care units (ICUs).DesignThis was a prospective multicenter study.SettingThe study involved 26 ICUs located in the Paris area, France, participating in a regional database.MethodsData were collected through answers of 1000 ICU personnel to the Culture, Organization, and Management in Intensive Care questionnaire and from the database. Organizational performance was assessed through a composite score related to 5 dimensions: coordination and adaptation to uncertainty, communication, conflict management, organizational change, and organizational learning, Skills developed in relationship with patients and their families. Statistical comparisons between ICUs were performed by analysis of variance with a Scheffé pairwise procedure. A multilevel regression model was used to analyze both individual and structural variables explaining differences of ICU's organizational performance.ResultsThe organizational performance score differed among ICUs. Some cultural values were negatively correlated with a high level of organizational performance, suggesting improvement potential. Several individual and structural factors were also related to the quality of ICU organization, including absence of burnout, older staff, satisfaction to work, and high workload (P < .02 for each).ConclusionsA benchmarking approach can be used by ICU managers to assess the organizational performance of their ICU based on a validated questionnaire. Differences are mainly explained by cultural values and individual well-being factors, introducing new requirements for managing human resources in ICUs.

      Pubmed     Full text   Copy Citation     Plaintext  

      Add institutional full text...

    Notes

     
    Knowledge, pearl, summary or comment to share?
    300 characters remaining
    help        
    You can also include formatting, links, images and footnotes in your notes
    • Simple formatting can be added to notes, such as *italics*, _underline_ or **bold**.
    • Superscript can be denoted by <sup>text</sup> and subscript <sub>text</sub>.
    • Numbered or bulleted lists can be created using either numbered lines 1. 2. 3., hyphens - or asterisks *.
    • Links can be included with: [my link to pubmed](http://pubmed.com)
    • Images can be included with: ![alt text](https://bestmedicaljournal.com/study_graph.jpg "Image Title Text")
    • For footnotes use [^1](This is a footnote.) inline.
    • Or use an inline reference [^1] to refer to a longer footnote elseweher in the document [^1]: This is a long footnote..

    hide…