Chapter 3. Coordination and collaboration with interface units

Gavin M. Joynt, Shi Loo, Bruce L. Taylor, Gila Margalit, Michael D. Christian, Christian E Sandrock, Marion Danis, Yuval Leoniv, Charles L. Sprung

Research output: Contribution to journalArticlepeer-review

20 Scopus citations


Purpose: To provide recommendations and standard operating procedures (SOPs) for intensive care unit (ICU) and hospital preparations for an influenza pandemic or mass disaster with a specific focus on enhancing coordination and collaboration between the ICU and other key stakeholders. Methods: Based on a literature review and expert opinion, a Delphi process was used to define the essential topics including coordination and collaboration. Results: Key recommendations include: (1) establish an Incident Management System with Emergency Executive Control Groups at facility, local, regional/state or national levels to exercise authority and direction over resource use and communications; (2) develop a system of communication, coordination and collaboration between the ICU and key interface departments within the hospital; (3) identify key functions or processes requiring coordination and collaboration, the most important of these being manpower and resources utilization (surge capacity) and re-allocation of personnel, equipment and physical space; (4) develop processes to allow smooth inter-departmental patient transfers; (5) creating systems and guidelines is not sufficient, it is important to: (a) identify the roles and responsibilities of key individuals necessary for the implementation of the guidelines; (b) ensure that these individuals are adequately trained and prepared to perform their roles; (c) ensure adequate equipment to allow key coordination and collaboration activities; (d) ensure an adequate physical environment to allow staff to properly implement guidelines; (6) trigger events for determining a crisis should be defined. Conclusions: Judicious planning and adoption of protocols for coordination and collaboration with interface units are necessary to optimize outcomes during a pandemic.

Original languageEnglish (US)
JournalIntensive Care Medicine
Issue numberSUPPL. 1
StatePublished - Apr 2010


  • Coordination and collaboration
  • Disaster
  • H1N1
  • Hospital
  • Influenza epidemic
  • Intensive care unit
  • Pandemic
  • Recommendations
  • Standard operating procedures

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine


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