Groupe Hospitalier Paris Saint-Joseph, Réanimation Polyvalente, 75014 Paris, France.
J Crit Care. 2010 Jun;25(2):359.e9-359.e12. doi: 10.1016/j.jcrc.2009.12.009. Epub 2010 Mar 1.
Describe a program set up in a French intensive care unit (ICU) aimed at improving communication inside the team and communication information given to patients and their relatives; explain how those actions can improve communication inside the ICU and ultimately why it could improve patient's outcome.
Position paper.
Progressive implementation of multifaceted quality improvement program.
The program Leadership, Ownership, Values, and Evaluation (LOVE) was developed over 10 years. It was usually well accepted by the members of the team, patients, and relatives, in particular the 24-hour visiting program that was prospectively evaluated. Information and decisions were shared with the patients or more often with the relatives, who became for some of them really "part of the team." Additional actions such as participation to some of the simplest cares by the families are under investigation. A prospective evaluation of such programs, although difficult to perform, remains probably necessary.
Quality of life within the ICU is based on many factors including a strong and positive leadership, an absolute respect of individuals, and a rigorous evaluation of quality of care, which could influence heavily the quality of life in the ICU for patients, relatives, and health care professionals and facilitate team work. Whether this could really influence outcome remains to be demonstrated.
描述法国重症监护病房（ICU）中设立的一项旨在改善团队内部沟通以及向患者及其家属提供信息的计划；解释这些措施如何改进 ICU 内的沟通，并最终解释其为何能改善患者预后。
立场文件。
逐步实施多方面的质量改进计划。
“领导力、所有权、价值观和评估”（LOVE）计划历经 10 余年发展而来。该计划通常受到团队成员、患者及其家属的欢迎，尤其是 24 小时探访计划得到了前瞻性评估。信息和决策与患者共享，更常见的是与家属共享，对一些家属来说，他们已经成为“团队的一部分”。正在调查其他一些行动，例如让家属参与一些最简单的护理。虽然前瞻性评估此类计划具有一定难度，但可能仍然有必要进行。
ICU 内的生活质量取决于许多因素，包括强有力的积极领导、对个体的绝对尊重以及对护理质量的严格评估，这可能会对患者、家属、医护人员在 ICU 中的生活质量产生重大影响，并促进团队合作。但这是否真的能影响预后仍有待证明。
