Zusammenfassung
Externe Qualitätssicherung, wie sie in Deutschland mit dem Kerndatensatz Intensivmedizin möglich ist, erlaubt ein Benchmarking der eigenen Station mit der Gesamtheit der Teilnehmer (Martin et al. 2004). Die Umsetzung eines gefundenen Verbesserungspotenzials muss jedoch immer über ein internes Qualitätsmanagement durchgeführt werden. Ziel eines Qualitätsmanagements ist es, die Struktur und die Prozesse so zu organisieren, dass ein optimales Ergebnis entsteht.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Literatur
Literatur zu ▶ Abschn. 10.1
Bastos PG, Knaus WA, Zimmerman JE et al (1996) The importance of technology for achieving superior outcomes from intensive care. Brazil APACHE III Study Group. Intensive Care Med 22:664–669
Carlet J (1996) Quality assessment of intensive care units. Curr Opin Crit Care 2:319–325
Committee on Quality of Health Care in America (2001) Crossing the quality chasm: a new health system for the 21st century. National Academy Press, Washington, DC
Donabedian A (1973) Aspects of medical care administration: specifying requirement for health care. Harvard University Press, Cambridge, MA
Donabedian A (1993) Continuity and change in the quest for quality. Clin Perform Qual Health Care 1:9–16
Jorch G, Kluge S, König F, Markewitz A, Notz K, Parvu V, Quintel M, Schneider D, Sybrecht W, Wayhas C (2012) Empfehlungen zur Struktur und Ausstattung von Intensivstationen. In: Putensen C, Quintel M, Sybrecht GW (Hrsg) DIVI Jahrbuch 2011/2012. Medizinisch Wissenschaftliche Verlagsgesellschaft, Berlin, S 3–248
Kalassian KG, Dremsizov T, Angus DC (2002) Translating research evidence into clinical practice: New challenges for critical care. Crit Care 6:11–14
Martin J, Schleppers A, Fischer K, Junger A, Klöss T, Schwilk B, Pützhofen G, Bauer M, Krieter H, Reinhart K, Bause H, Kuhlen R, Heinrichs W, Burchardi H, Waydhas C (2004) Mindestinhalte der Dokumentation im Bereich der Intensivmedizin– Der Kerndatensatz Intensivmedizin. Anästh Intensivmed 45:207–216
Martin J, Wegermann P, Bause H, Franck M, Geldner G et al (2007) Qualitätsmanagement in der Intensivmedizin. Anästh Intensivmed 48:S40–S47
Pronovost PJ, Angus DC, Dorman T et al (2002) Physician staffing patterns and clinical outcomes in critically ill patients: A systematic review. JAMA 288:2151–2162
Pronovost PJ, Berenholtz SM, Ngo K, McDowell M, Holzmueller C, Haraden C, Resar R, Rainey T, Nolan T, Dorman T (2003) Developing and pilot testing quality indicators in the intensive care unit. J Crit Care 18:145–155
Reis Miranda D, Ryan DW, Schaufeli WB et al (Hrsg) (1997) Organization and management of intensive care: a prospective study in 12 European countries. Springer, Berlin Heidelberg New York
Spanish Society of Intensive Care Medicine and Coronary Care Units (SEMICYUC) (2011) [www.calidad.semicyuc.org/]
Werner RM, Asch DA (2005) The unintended consequences of publicly reporting quality information. JAMA 293:1239–1244
Literatur zu ▶ Abschn. 10.2
DIVI [www.divi-org.de]
European Society of Intensive Care Medicine, European Society of Pediatric Intensive Care (1996) Guidelines for a training programme in intensive care medicine. Intensive Care Med 22:166–172
Gastmeier P, Geffers C, Sohr D, Dettenkofer M, Daschner F, Ruden H (2003) Five years working with the German nosocomial infection surveillance system (Krankenhaus Infektions Surveillance System). Am J Infect Control 31:316–321
Leapfrog Group [www.leapfroggroup.org]
Martin J, Schleppers A, Fischer K et al (2004) Der Kerndatensatz Intensivmedizin: Mindestinhalte der Dokumentation im Bereich der Intensivmedizin. Anästh Intensivmed 45:207–216
Metnitz PGH, Vesely H, Valentin A, Popow C, Hiesmayr M, Lenz K, Krenn CG, Steltzer H (1999) Evaluation of an interdisziplinary data set for national intensive care unit assessment. Crit Care Med 27:1486–1491
Moreno RP, Metnitz PG, Almeida E, Jordan B, Bauer P, Campos RA, Iapichino G, Edbrooke D, Capuzzo M, Le Gall JR (2005) From evaluation of the patient to evaluation of the intensive care unit. Part 2: Development of a prognostic model for hospital mortality at ICU admission. Intensive Care Med 31:1345–1355
Polderman KH, Metnitz PGH (2005) Using risk adjusted systems in the ICU: avoid scoring an „own goal”. Intensiv Care Med 31:1471–1473
Waydhas C, Interdisziplinäre Arbeitsgruppe Qualitätssicherung in der Intensivmedizin der DIVI (2000) Vorschlag für ein nationales Register zum externen Qualitätsvergleich in der Intensivmedizin. Intensivmed 37:454–460
Literatur zu ▶ Abschn. 10.3
Ali J, Barrow L, Vuylsteke A (2010) The impact of computerised physician order entry on prescribing practices in a cardiothoracic intensive care unit. Anaesthesia 65:119–123
Levesque E, Hoti E, De La Serna S et al (2013) The positive financial impact of using an Intensive Care Information System in a tertiary Intensive Care Unit. International journal of medical informatics 82:177–184
Manias E, Williams A, Liew D (2012) Interventions to reduce medication errors in adult intensive care: a systematic review. British journal of clinical pharmacology 74:411–423
Meyfroidt G, Wouters P, De Becker W et al (2011) Impact of a computer-generated alert system on the quality of tight glycemic control. Intensive Care Med 37:1151–1157
Medical IT Connection – MIT Connection [http://medicalitblog.com]
Rohrig R, Ruth R (2009) Intelligent telemedicine in intensive care units. Bed-side operation of medical technology devices and IT in intensive care medicine. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 52:279–286
Roshanov PS, Fernandes N, Wilczynski JM et al (2013) Features of effective computerised clinical decision support systems: meta-regression of 162 randomised trials. BMJ 346:f657
Shulman R, Singer M, Goldstone J et al (2005) Medication errors: a prospective cohort study of hand-written and computerised physician order entry in the intensive care unit. Crit Care 9:R516–521
VDE (2012) Risikomanagement für medizinische Netzwerke in der Intensiv- und Notfallmedizin. Gemeinsames Positionspapier zur Norm IEC 80001-1. Mitteilung vom 14.11.2012 [www.vde.com/de/verband/pressecenter]
Literatur zu ▶ Abschn. 10.4
Frutiger A, Moreno R, Thijs L, Carlet J (1998) A clinician’s guide to the use of quality terminology. Working Group on Quality Improvement of the European Society of Intensive Care Medicine. Intensive Care Med 24:860–863
Edbrooke DL, Stevens VG, Hibbert CL, Mann AJ, Wilson AJ (1997) A new method of accurately identifying costs of individual patients in intensive care: the initial results. Intensive Care Med 23:645–650
Jegers M, Edbrooke DL, Hibbert CL, Chalfin DB, Burchardi H (2002) Definitions and methods of cost assessment: an intensivist’s guide. ESICM section on health research and outcome working group on cost effectiveness. Intensive Care Med 2002; 28:680–685
American Thoracic Society (2002) Understanding costs and cost-effectiveness in critical care: report from the second American Thoracic Society workshop on outcomes research. American J Respirat Crit Care Med 165:540–550
Cullen DJ, Civetta JM, Briggs BA, Ferrara LC (1974) Therapeutic intervention scoring system: a method for quantitative comparison of patient care. Critical Care Med 2:57–60
Miranda DR, de Rijk A, Schaufeli W (1996) Simplified Therapeutic Intervention Scoring System: the TISS-28 items – results from a multicenter study. Critical Care Med 24:64–73
Miranda DR, Moreno R, Iapichino G (1997) Nine equivalents of nursing manpower use score (NEMS). Intensive Care Med 23:760–765
Graf J, Muhlhoff C, Doig GS et al (2008) Health care costs, long-term survival, and quality of life following intensive care unit admission after cardiac arrest. Crit Care 12:R92
Graf J, Wagner J, Graf C, Koch KC, Janssens U (2005) Five-year survival, quality of life, and individual costs of 303 consecutive medical intensive care patients – a cost-utility analysis. Critical Care Med 33:547–555
Graf J, Graf C, Koch KC, Hanrath P, Janssens U (2003) [Cost analysis and outcome prediction with the Therapeutic Intervention Scoring System (TISS and TISS-28)]. Med Klin (Munich) 98:123–132
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2015 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Martin, J., Bingold, T.M., Waydhas, C., Graf, J. (2015). Ökonomie, Qualitätsmanagement und Patientendatenbankmanagementsysteme (PDMS). In: Marx, G., Muhl, E., Zacharowski, K., Zeuzem, S. (eds) Die Intensivmedizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-54953-3_10
Download citation
DOI: https://doi.org/10.1007/978-3-642-54953-3_10
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-54952-6
Online ISBN: 978-3-642-54953-3
eBook Packages: Medicine (German Language)