PURPOSE: To understand the knowledge and attitude of the medical staff toward closing an open ICU.
METHODS: Survey study. Survey was mailed to the active members of the medical staff with dead line set up for survey return.
RESULTS: Over all response rate was 50% (110 out of 220 active staff). 64% of the responders were affiliated with medicine department, and 36% were affiliated with surgery department. 22% agreed with the closing the ICU, 61% disagreed with the closed ICU model (60% from medicine, and 40% from surgery), and 17% of the staff remained undecided. 32% disagreed that the closed model will improve outcome, and decrease mortality while 41% of the responders remain undecided. 42% agreed with the concept of semi-closed ICU while 27% disagreed and 31% remained undecided 78% agreed that adding intensivist will help coordinate care and improve outcome.
CONCLUSION: 1) There is a significant lack of knowledge and negative attitude when it comes to change an open to closed ICU in tertiary care center. 2) Medical doctor may oppose closing an open ICU more than the surgical peers.
CLINICAL IMPLICATIONS: Medical staff education programs are important before organizational changes. An intense education about effect of closing an open ICU on patient safty and oucome is required before this organizational change.
DISCLOSURE: Hesham El Gamal, No Financial Disclosure Information; No Product/Research Disclosure Information