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

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)

View the complete syllabus for Domain 11

View all resources for Domain 11

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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