The development of Dutch COVID-19 ICU triage guidelines from an institutional work perspective

Introduction Throughout the COVID-19 pandemic, two ICU triage guidelines were developed in the Netherlands—the Pandemic Guideline and the Guideline Code Black—ostensibly to tackle the threat of absolute care scarcity. Healthcare guidelines are generally based on evidence and prescribe what healthcare professionals should do in certain situations. We used the institutional work perspective, focusing on the human agency to create, maintain, and/or disrupt institutional structures, to study the development of these guidelines and observed that they did a lot more than just offering guidance to he... Mehr ...