Principles of Critical Care Organization and Management

In this article, we outline the evolution of critical care delivery and organization and propose roadmap and practical strategies, with real-world examples, for building functional and high-performing intensive care unit (ICU) systems through 10 organizational principles that lay the groundwork for creating critical care organizations that are efficient, patient-centered, and sustainable. We conclude with a forward-looking vision of future ICU organizational care, emphasizing innovation, technology, workforce resilience, and global equity.