Andreas ValentinPatrick FerdinandeESICM Working Groupon Quality Improvement
Recommendations on basic requirements for intensive care units: structuraland organizational aspects
Received: 7 February 2011Accepted: 9 June 2011
Copyright jointly held by Springer andESICM 2011This article is discussed in the editorialavailable at doi:10.1007/s00134-011-2332-z.
Electronic supplementary material
The online version of this article(doi:10.1007/s00134-011-2300-7) containssupplementary material, which is availableto authorized users.A. Valentin (
)General and Medical ICU,Rudolfstiftung Hospital, Juchgasse 25,1030 Vienna, Austriae-mail: email@example.comTel.:
43-1-711652229P. FerdinandeSurgical and Transplantation ICU,University Hospital Gasthuisberg,Leuven, Belgium
To provideguidance and recommendations forthe planning or renovation of inten-sive care units (ICUs) with respect tothe speciﬁc characteristics relevant toorganizational and structural aspectsof intensive care medicine.
The Working Groupon Quality Improvement (WGQI) of the European Society of IntensiveCare Medicine (ESICM) identiﬁedthe basic requirements for ICUs by acomprehensive literature search andan iterative process with severalrounds of consensus ﬁnding with theparticipation of 47 intensive carephysicians from 23 countries. Thestarting point of this process was anESICM recommendation published in1997 with the need for an updatedversion.
The documentconsists of operational guidelines anddesign recommendations for ICUs. Inthe ﬁrst part it covers the deﬁnitionand objectives of an ICU, functionalcriteria, activity criteria, and themanagement of equipment. The sec-ond part deals with recommendationswith respect to the planning process,ﬂoorplan and connections, accom-modation, ﬁre safety, central services,and the necessary communicationsystems.
This docu-ment provides a detailed framework for the planning or renovation of ICUs based on a multinational con-sensus within the ESICM.
Intensive care medicine
Quality of care
AHCP Allied health careprofessionaldB DecibelESICM European Society of Intensive Care MedicineESM Electronic supplementarymaterialFTE Full time equivalentHDU High dependency unitICU Intensive care unitiv IntravenousLOC(s) Level(s) of careM and F Male and femaleWQI Working Group of QualityImprovement (ESICM)
In 1997 a task force of the European Society of IntensiveCare Medicine (ESICM) published a paper aimed todescribe minimum requirements for intensive caredepartments . These recommendations had an impactin guidelines of national intensive care societies as well aslegislative documents (e.g., in Greece). Since thenintensive care medicine and even more the conditions of its practice have changed considerably causing the need
Intensive Care MedDOI 10.1007/s00134-011-2300-7