The intensive care unit--who's in charge? The private practice view
In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and postoperative care in surgical intensive care units. To study today's private practice environment, we took a survey. Questionnaires were sent to th...
Gespeichert in:
| Veröffentlicht in: | Archives of surgery (Chicago. 1960) Jg. 125; H. 9; S. 1105 |
|---|---|
| Hauptverfasser: | , |
| Format: | Journal Article |
| Sprache: | Englisch |
| Veröffentlicht: |
United States
01.09.1990
|
| Schlagworte: | |
| ISSN: | 0004-0010 |
| Online-Zugang: | Weitere Angaben |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| Abstract | In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and postoperative care in surgical intensive care units. To study today's private practice environment, we took a survey. Questionnaires were sent to the chiefs of surgery and the nurse managers of the surgical intensive care units at 188 non-university-affiliated hospitals throughout the United States. Results show that surgeons do not have the principal managing role in the intensive care unit for surgical patients in 70% to 75% of the hospitals. Results also indicated that surgeons are relinquishing their responsibilities in the direct care of the preoperative and postoperative critically ill patients. Three main reasons are given for this: (1) an ever-increasing body of critical care knowledge plus complex technology, (2) a lack of economic incentive, and (3) professional liability. To reverse this trend, these three areas must be addressed. |
|---|---|
| AbstractList | In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and postoperative care in surgical intensive care units. To study today's private practice environment, we took a survey. Questionnaires were sent to the chiefs of surgery and the nurse managers of the surgical intensive care units at 188 non-university-affiliated hospitals throughout the United States. Results show that surgeons do not have the principal managing role in the intensive care unit for surgical patients in 70% to 75% of the hospitals. Results also indicated that surgeons are relinquishing their responsibilities in the direct care of the preoperative and postoperative critically ill patients. Three main reasons are given for this: (1) an ever-increasing body of critical care knowledge plus complex technology, (2) a lack of economic incentive, and (3) professional liability. To reverse this trend, these three areas must be addressed. In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and postoperative care in surgical intensive care units. To study today's private practice environment, we took a survey. Questionnaires were sent to the chiefs of surgery and the nurse managers of the surgical intensive care units at 188 non-university-affiliated hospitals throughout the United States. Results show that surgeons do not have the principal managing role in the intensive care unit for surgical patients in 70% to 75% of the hospitals. Results also indicated that surgeons are relinquishing their responsibilities in the direct care of the preoperative and postoperative critically ill patients. Three main reasons are given for this: (1) an ever-increasing body of critical care knowledge plus complex technology, (2) a lack of economic incentive, and (3) professional liability. To reverse this trend, these three areas must be addressed.In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and postoperative care in surgical intensive care units. To study today's private practice environment, we took a survey. Questionnaires were sent to the chiefs of surgery and the nurse managers of the surgical intensive care units at 188 non-university-affiliated hospitals throughout the United States. Results show that surgeons do not have the principal managing role in the intensive care unit for surgical patients in 70% to 75% of the hospitals. Results also indicated that surgeons are relinquishing their responsibilities in the direct care of the preoperative and postoperative critically ill patients. Three main reasons are given for this: (1) an ever-increasing body of critical care knowledge plus complex technology, (2) a lack of economic incentive, and (3) professional liability. To reverse this trend, these three areas must be addressed. |
| Author | Faber, D R Trask, A L |
| Author_xml | – sequence: 1 givenname: A L surname: Trask fullname: Trask, A L organization: Department of Surgery, University of Miami, School of Medicine, Fla – sequence: 2 givenname: D R surname: Faber fullname: Faber, D R |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/2400302$$D View this record in MEDLINE/PubMed |
| BookMark | eNotj01Lw0AQhvdQqW31Jwg5iJ4SZz-6yZ5ESv2Agpd6DpvNpFlpkrqbpPjv3WAPwzvwPAzvLMms7Vok5J5CQgHok3am9oM7JFQpSIAKCiwAPs2MLABAxMGDa7L0_jtsLFNsTuZMBAHYgmz2NUa27bH1dsTIaIfR0No-js919-gDikyt3QGfo8k8OTvqfkptemswGi2eb8hVpY8eby-5Il-v2_3mPd59vn1sXnax5lz2sZGhXVkqYThnCkUqRVEBz7gM3IhUVIWkZVowVgkl0pSDXkMlGZeyKihbsxV5-L97ct3PgL7PG-sNHo-6xW7weaqUyjifxLuLOBQNlnlo3Wj3m1--Zn-EXlqq |
| CitedBy_id | crossref_primary_10_1016_S0750_7658_99_80064_1 crossref_primary_10_1089_109662103768253641 crossref_primary_10_1016_S0749_0704_18_30178_7 crossref_primary_10_1016_j_jss_2010_04_023 crossref_primary_10_1016_S0039_6109_05_70096_7 |
| ContentType | Journal Article |
| DBID | CGR CUY CVF ECM EIF NPM 7X8 |
| DOI | 10.1001/archsurg.1990.01410210031003 |
| DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed MEDLINE - Academic |
| DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) MEDLINE - Academic |
| DatabaseTitleList | MEDLINE MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: NPM name: PubMed url: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: 7X8 name: MEDLINE - Academic url: https://search.proquest.com/medline sourceTypes: Aggregation Database |
| DeliveryMethod | no_fulltext_linktorsrc |
| ExternalDocumentID | 2400302 |
| Genre | Journal Article |
| GeographicLocations | United States |
| GeographicLocations_xml | – name: United States |
| GroupedDBID | --- -QF .55 .XZ 23N 2CT 2WC 354 39C 3O- 4.4 53G 5GY 6J9 AAWTL AAYEP ABCQX ABJNI ABOCM ACGFO ACGFS ADBBV AFFNX AI. ALMA_UNASSIGNED_HOLDINGS AMJDE ARBJA BRYMA C1A C45 CGR CS3 CUY CVF EAM EBS ECM EIF EJD EMOBN EX3 F5P GX1 IH2 J5H L7B N4W N9A NPM OB2 OBH OHH OVD P2P RAJ RWL RXW SJN SV3 TAE TEORI VH1 VVN VXZ WH7 WOW X6Y X7M XHN YOC ZE2 ZGI ZXP ZY1 7X8 |
| ID | FETCH-LOGICAL-a336t-c6410dd94c3329e4764bf03836a33c474fb61d7b22f4947730a50f62366fb1252 |
| IEDL.DBID | 7X8 |
| ISICitedReferencesCount | 16 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=10_1001_archsurg_1990_01410210031003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 0004-0010 |
| IngestDate | Fri Jul 11 07:56:14 EDT 2025 Wed Feb 19 02:35:30 EST 2025 |
| IsPeerReviewed | false |
| IsScholarly | false |
| Issue | 9 |
| Language | English |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-a336t-c6410dd94c3329e4764bf03836a33c474fb61d7b22f4947730a50f62366fb1252 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
| PMID | 2400302 |
| PQID | 79998335 |
| PQPubID | 23479 |
| ParticipantIDs | proquest_miscellaneous_79998335 pubmed_primary_2400302 |
| PublicationCentury | 1900 |
| PublicationDate | 1990-09-01 |
| PublicationDateYYYYMMDD | 1990-09-01 |
| PublicationDate_xml | – month: 09 year: 1990 text: 1990-09-01 day: 01 |
| PublicationDecade | 1990 |
| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States |
| PublicationTitle | Archives of surgery (Chicago. 1960) |
| PublicationTitleAlternate | Arch Surg |
| PublicationYear | 1990 |
| References | 1998484 - Arch Surg. 1991 Mar;126(3):398 |
| References_xml | – reference: 1998484 - Arch Surg. 1991 Mar;126(3):398 |
| SSID | ssj0012892 |
| Score | 1.2292871 |
| Snippet | In the past 10 years, a number of authors have expressed concern that surgeons are abdicating their traditional role of providing preoperative and... |
| SourceID | proquest pubmed |
| SourceType | Aggregation Database Index Database |
| StartPage | 1105 |
| SubjectTerms | Critical Care - economics Critical Care - organization & administration General Surgery - organization & administration Humans Intensive Care Units - organization & administration Malpractice Postoperative Care - economics Postoperative Care - methods Surveys and Questionnaires United States |
| Title | The intensive care unit--who's in charge? The private practice view |
| URI | https://www.ncbi.nlm.nih.gov/pubmed/2400302 https://www.proquest.com/docview/79998335 |
| Volume | 125 |
| WOSCitedRecordID | wos10_1001_archsurg_1990_01410210031003&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV07T8MwED4VihALDwGiPD1UYjKksWMnElKFKioGqDqA1C1ynBi6JKUP-PvcOY2YEANLMjhRkvPZ_r74uzuAruq5wJEUx0ZCc5nHAUeuYjjyNiNsYQppfBLXJz0axZNJMm7BXRMLQ7LKZk70E3VeWfpHfqsRyVCAUH_2walmFO2trgtobEBbIJAhn9aTnz0EpBJ1rnDSWSDt2IZuk3PIR32s5m8UqxfceK0jUh_KkumLZ_0CNf2SM9z738vuw-4aarL72jcOoFWUhzBAv2DTRrfOSPjFVjisOf96r64X2MR88qSiz-jK2Zyqn9G5DqZi9OAjeB0-vAwe-bqQAjdCqCW3Cj8wzxNphQiTQmolMxcgN1XYbqWWLlO9XGdh6GQiNQ56EwUOgZFSLkMEFB7DZlmVxQmwGOldFuM6n0VWujwwic6iJCFcF0prTAeuGouk6Ki0-2DKolot0sYmHTiujZrO6nwaKclYRRCe_nnrGexQh9USr3NoOxyhxQVs2c_ldDG_9N2Px9H4-RujMbec |
| linkProvider | ProQuest |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=The+intensive+care+unit--who%27s+in+charge%3F+The+private+practice+view&rft.jtitle=Archives+of+surgery+%28Chicago.+1960%29&rft.au=Trask%2C+A+L&rft.au=Faber%2C+D+R&rft.date=1990-09-01&rft.issn=0004-0010&rft.volume=125&rft.issue=9&rft.spage=1105&rft_id=info:doi/10.1001%2Farchsurg.1990.01410210031003&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0004-0010&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0004-0010&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0004-0010&client=summon |