TY - CHAP M1 - Book, Section TI - 21st Century Critical Care—An Introduction A1 - Douglas, Ivor S. A1 - Kress, John P. A1 - Schmidt, Gregory A. A2 - Schmidt, Gregory A. A2 - Kress, John P. A2 - Douglas, Ivor S. PY - 2023 T2 - Hall, Schmidt and Wood’s Principles of Critical Care, 5th Edition AB - The clinical practice and science of critical care has emerged as a mature multidisciplinary medical specialty but access to critical care—trained clinicians—remains highly variable and inconsistent.Excellence in team-based care and leadership requires specific training and skills to be most effective. Clinical mastery alone is insufficient to deliver outstanding care and should be enhanced with skills in organizational leadership and interpersonal communication.Pathophysiologically informed diagnosis and treatment is the cornerstone of excellent critical care. Incorporating human factors and principles of behavioral economics into critical care organization and clinical decision-making enhances reliability and consistency in the delivery of high-quality care.Critical care resides at the intersection of personal and public health and requires humble and fastidious stewardship of scarce resources to ensure equitable, affordable, and prompt access and reliably high-quality care, including in resource-constrained and developing environments.The care of the critically ill extends beyond the individual patient and requires systems of care that prioritize patient/family centeredness with a focus on continuity of support beyond a critical illness for caregivers of chronically and critically ill patients and the bereaved families and communities of those who die as a consequence of critical illness. Palliative care medicine specialists and experts in behavioral medicine are notable enhancements in care models.Critical care is invigorated by a scholarly approach, involving learning and teaching that incorporates impactful adult learning theories and pedagogical methods, the conduct of hypothesis-based mechanistic, clinical, epidemiological, and qualitative research, and the dissemination of novel findings through a rigorous peer-review process. SN - PB - McGraw Hill CY - New York, NY Y2 - 2024/09/14 UR - accessanesthesiology.mhmedical.com/content.aspx?aid=1201797941 ER -