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Domain 11 : Patient safety and health systems management
Error in healthcare often creates two victims - the patient, and the clinician who is usually the terminal component in an unsafe healthcare system. Creating safer systems may require changes in structures and resources, but always involve improvements in processes and organisation of care.


By the end of specialist training, the trainee...

11.1 Leads a daily multidisciplinary ward round
11.2 Complies with local infection control measures
11.3 Identifies environmental hazards and promotes safety for patients & staff
11.4 Identifies and minimises risk of critical incidents and adverse events, including complications of critical illness
11.5 Organises a case conference
11.6 Critically appraises and applies guidelines, protocols and care bundles
11.7 Describes commonly used scoring systems for assessment of severity of illness, case mix and workload
11.8 Demonstrates an understanding of the managerial & administrative responsibilities of the ICM specialist

Features of competent performance

  • Professional approach - professional relationships and self governance
  • Attention to safety: identification and minimisation of risks; prevention / reporting of adverse events; safe use of equipment
  • Attention to monitoring
  • Appropriate prescribing and application of therapeutics
  • Attention to communication and documentation tasks
  • Development of collaborative care plans
  • Effective multidisciplinary team-working & leadership - clear communication & promote continuity
  • Timely and appropriate referral / consultation
  • Recognition of limitations (self and others) 


All competencies
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Note that the "Resources" that are included in this page, have not been updated in the recent years. An updated collection of useful resources will be available soon as part of the ESICM Academy (for more details, see www.esicm.org).

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