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Patientensicherheit in der Anästhesie

Multimodale Strategien für die perioperative Versorgung

Patient safety in anesthesiology

Multimodal strategies for perioperative care

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Zusammenfassung

Der Begriff „Patientensicherheit“ ist in der heutigen Medizin präsenter als jemals zuvor. Darunter werden alle Prozesse zusammengefasst, die mit der Prävention und der Vermeidung unerwünschter Vorkommnisse in der Patientenversorgung im Zusammenhang stehen. Da die moderne Anästhesie spätestens seit der Deklaration von Helsinki 2010 in der klinischen Umsetzung eine Schlüsselrolle einnimmt, werden perioperativ-tätige Mediziner mit einer Vielzahl von Theorien, Modellen, Methoden und Werkzeugen konfrontiert, die eine Optimierung der Patientensicherheit ermöglichen bzw. erleichtern sollen. Die Herausforderung besteht darin, all diese zu einem funktionierenden, synergistischen Risikomanagementkonzept zusammenzufügen, das jeweilige Stärken und Schwächen der einzelnen Elemente kennt und berücksichtigt. Ziel der vorliegenden Arbeit ist es, eine systematische Übersicht der möglichen Komponenten zu vermitteln, die momentan zur Förderung der perioperativen Patientensicherheit zur Verfügung stehen.

Abstract

The concept of patient safety is more of a presence in modern day medicine than ever before. All measures and processes aiming at preempting and preventing critical incidents and accidents in patient care are collectively grouped under this concept. With the Declaration of Helsinki in 2010 modern anesthesiology has undertaken a fundamental role in the clinical implementation and perioperative clinicians are confronted with a multitude of theories, models, methods and tools targeted at improving or facilitating optimized patient safety. One of the biggest challenges lies in their synergistic combination to create a functioning concept for perioperative risk management while also incorporating individual strengths and weaknesses. The aim of the present paper is to provide a structured overview of the various components presently available for increasing perioperative patient safety.

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Authors and Affiliations

  1. Klinik für Anästhesiologie, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120, Heidelberg, Deutschland

    C. Neuhaus, G. Hofmann, S. Klemm, S. Neuhaus, S. Hofer, M.A. Weigand & C. Lichtenstern

  2. Abteilung Medizinische Informatik, Carl von Ossietzky Universität, Oldenburg, Deutschland

    R. Röhrig

  3. Abteilung Qualitätsmanagement/Medizincontrolling, Universitätsklinikum Heidelberg, Heidelberg, Deutschland

    M. Thalheimer

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  1. C. Neuhaus
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  4. S. Klemm
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  9. C. Lichtenstern
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Correspondence to C. Neuhaus.

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C. Neuhaus, R. Röhrig, G. Hofmann, S. Klemm, S. Neuhaus, S. Hofer, M. Thalheimer, M.A. Weigand und C. Lichtenstern geben an, dass kein Interessenkonflikt besteht.

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Neuhaus, C., Röhrig, R., Hofmann, G. et al. Patientensicherheit in der Anästhesie. Anaesthesist 64, 911–926 (2015). https://doi.org/10.1007/s00101-015-0115-6

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