Organization and Management of Critical Care Services: Unexpected Challenges in Leading a Critical Care Organization

Nitin Puri; Seife Yohannes

doi:10.1016/j.ccc.2025.11.005

Organization and Management of Critical Care Services: Unexpected Challenges in Leading a Critical Care Organization

Crit Care Clin. 2026 Apr;42(2):425-440. doi: 10.1016/j.ccc.2025.11.005. Epub 2026 Jan 8.

Authors

Nitin Puri¹, Seife Yohannes²

Affiliations

¹ Cooper Medical School of Rowan University, Camden, NJ, USA. Electronic address: puri-nitin@cooperhealth.edu.
² Medstar Washington Hospital Center, Washington, DC, USA.

PMID: 41825988
DOI: 10.1016/j.ccc.2025.11.005

Abstract

Uncertainty is the only constant in critical care medicine leadership, ranging from unexpected staff attrition to global pandemics. Developing skills to retain experienced staff, manage conflict, and handle failure are essential to be effective. Successful leaders have knowledge of the challenges experienced by front-line clinicians and clearly communicate with their teams. By creating a culture of safety and making clinicians feel valued, leaders can help their Critical Care Organization not just survive, but thrive.

Keywords: Burnout mitigation; Communication; Crisis; Culture; Leadership; Staffing models; Technology adoption.

Publication types

Review

MeSH terms

COVID-19
Critical Care* / organization & administration
Humans
Intensive Care Units* / organization & administration
Leadership*
Organizational Culture