Critical Care Services
Client- and family-centred care is an approach that guides all aspects of planning, delivering and evaluating services. The focus is always on creating and nurturing mutually beneficial partnerships among the organization’s team members and the clients and families they serve. Providing client- and family-centred care means working collaboratively with clients and their families to provide care that is respectful, compassionate, culturally safe, and competent, while being responsive to their needs, values, cultural backgrounds and beliefs, and preferences (adapted from the Institute for Patient- and Family-Centered Care (IPFCC) 2008 and Saskatchewan Ministry of Health 2011).
Accreditation Canada has adopted the four values that are fundamental to this approach, as outlined by the IPFCC, and integrated into the service excellence standards. The values are:
- Dignity and respect: Listening to and honouring client and family perspectives and choices. Client and family knowledge, values, beliefs, and cultural backgrounds are incorporated into the planning and delivery of care.
- Information sharing: Communicating and sharing complete and unbiased information with clients and families in ways that are affirming and useful. Clients and families receive timely, complete, and accurate information in order to effectively participate in care and decision-making.
- Partnership and participation: Encouraging and supporting clients and families to participate in care and decision making to the extent that they wish.
- Collaboration: Collaborating with clients and families in policy and program development, implementation and evaluation, facility design, professional education, and delivery of care.
Critical care is specialized interdisciplinary care provided to clients with life threatening or potentially life threatening conditions, typically involving one or more organ system failures. This type of care is provided on a 24-hour basis in a variety of settings including on a hospital ward, or in a post-anaesthetic recovery unit (PACU), intensive care unit (ICU), coronary care unit or other high dependency unit. Critical care also includes care provided by outreach teams, known as rapid response or medical emergency teams. These teams typically conduct interventions on the ward in an attempt to halt deterioration of the client's condition and possibly prevent the need for admission to the intensive care unit.
This set of standards contains the following sections:
- Investing in quality services
- Building a prepared and competent team
- Providing safe and effective services
- Maintaining accessible and efficient information systems
- Monitoring quality and achieving positive outcomes
All Accreditation Canada standards are developed through a rigorous process that includes a comprehensive literature review, consultation with a standards working group or advisory committee comprised of experts in the field, and evaluation by client organizations and other stakeholders.