Quality Assurance in Intensive Care Medicine: Peer Reviews and Quality Indicators

被引：0
|
作者：
Kumpf, Oliver [1 ,2 ,3 ,4 ,5 ]
Nothacker, Monika [6 ,7 ,8 ,9 ,10 ]
Dubb, Rolf [10 ,11 ]
Kaltwasser, Arnold [10 ,11 ,12 ]
Brinkmann, Alexander [10 ,13 ,14 ,15 ]
Greim, Clemens-A. [10 ,16 ,17 ]
Wildenauer, Rene [10 ,18 ,19 ]
机构：
[1] Krankenhaus Neukolln, Anasthesiol & Intens Med, Berlin, Germany
[2] Helios Klinikum Buch, Berlin, Germany
[3] Robert Rossle Klin, Chirurg & Chirurg Onkol, Berlin, Germany
[4] Hanse Klinikum Stralsund, Operat Intens Med, Stralsund, Germany
[5] Charite Univ Med Berlin, Klinik Anasthesiol Operat Intens Med, Berlin, Germany
[6] Klinikum Reutlingen, Reutlingen, Germany
[7] Westdeutsches Brustzentrum, Dusseldorf, Germany
[8] Arztlichen Zentrum Qualitat Med, Berlin, Germany
[9] AWMF Inst Med Wissensmanagement AWMF IMWi, Marburg, Germany
[10] Natl Steuerungs Grp Peer Review DIVI, Marburg, Germany
[11] Akad Kreiskliniken Reutlingen GmbH, Weiterbildung, Pfullingen, Germany
[12] Deutschen Netzwerke Fruhmobilisierung & Delir Net, Berlin, Germany
[13] Univ Ulm, Klin Anasthesiol, Ulm, Germany
[14] Klinikum Heidenheim, Klin Anasthesiol, Operat Intens Med & Spezielle Schmerztherapie, Heidenheim, Germany
[15] BDA, Berlin, Germany
[16] Klinikum Fulda, Klin Anasthesiol Intens & Notfallmed, Fulda, Germany
[17] DGAI, AK Ultraschall, Berlin, Germany
[18] Univ Klinikum Wurzburg, Chirurg Intens Stn, Wurzburg, Germany
[19] Chirurg Arbeitsgemeinschaft Intens & Notfallmed, Berlin, Germany
来源：
ANASTHESIOLOGIE INTENSIVMEDIZIN NOTFALLMEDIZIN SCHMERZTHERAPIE | 2021年 / 56卷 / 01期
关键词：
intensive care medicine; quality assurance; formative evaluation; peer review; quality indicators;
D O I：
10.1055/a-1130-4950
中图分类号：
R614 [麻醉学];
学科分类号：
100217 ;
摘要：
Zusammenfassung Fur eine gute medizinische Behandlungsqualitat ist ein zielorientiertes Qualitatsmanagement notwendig. Dadurch werden zentrale Aspekte des Behandlungsprozesses transparent, um Entwicklungspotenziale zu identifizieren und durch externe Qualitatssicherung vergleichbar zu sein. Dieser Beitrag stellt die hierfur wesentlichen Verfahren vor - mit dem Fokus auf Verfahren der formativen Evaluation (Peer Review) und prozessbasierten Qualitatsindikatoren. Abstract Goal-oriented quality management in health care is an essential tool to provide good medical practice and treatment. It aims at a patient-centred case management with high transparency of structural and clinical process aspects, as well as patient outcome. An objective and comprehensive description of clinical care includes the use of quality indicators. However, the appliance of those indicators falls short, when the evaluation of quality is not followed by recommendations for improvement. As a highly specified area in health care provided in hospitals, intensive care medicine is characterized by complex interprofessional and multidisciplinary approaches. In addition, critical care units are an expensive resource. In order to provide an economic and yet high quality patient care, treatments should be evidence-based, and cost-drivers must be analysed for their effectiveness on patient-outcome. Various methods of quality assurance allow for a formative evaluation of intensive care units by peer reviews, including the use of quality indicators. This article focuses on peer review systems currently applied in German hospitals, and particularly describes quality indicators that have been established by DIVI (German Interdisciplinary Society of Intensive Care and Emergency Medicine). It also addresses the need for a professional dialogue between equal partners. This has to accompany each peer review that aims at an improvement in quality of critical patient care.
引用
收藏
页码：12 / 27
页数：16
相关论文
共 50 条
  • [1] Peer reviews in intensive care medicine: pragmatic approach to quality management
    Braun, J. -P.
    Bause, H.
    Bloos, F.
    Geldner, G.
    Kastrup, M.
    Kuhlen, R.
    Markewitz, A.
    Martin, J.
    Mende, H.
    Quintel, M.
    Steinmeier-Bauer, K.
    Waydhas, C.
    Spies, C.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2010, 51 : S823 - S829
  • [2] Quality assurance concepts in intensive care medicine Medical - peer review, forms of certification & benchmarking tools
    Brenner, T.
    Bingold, T. M.
    Braun, J. P.
    Bause, H.
    Dubb, R.
    Henninger, A.
    Kaltwasser, A.
    Kumpf, O.
    Krueger, W. A.
    Marx, G.
    Weigand, M. A.
    Brinkmann, A.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2019, 60 : 209 - 222
  • [3] Quality indicators in intensive care medicine for Germany
    Kumpf, O.
    Assenheimer, M.
    Bloos, F.
    Brauchle, M.
    Braun, J. -p.
    Brinkmann, A.
    Czorlich, P.
    Dame, C.
    Dubb, R.
    Gahn, G.
    Greim, C. -a.
    Gruber, B.
    Habermehl, H.
    Herting, E.
    Kaltwasser, A.
    Krotsetis, S.
    Kruger, B.
    Markewitz, A.
    Marx, G.
    Muhl, E.
    Nydahl, P.
    Pelz, S.
    Sasse, M.
    Schaller, S. J.
    Schaefer, A.
    Schuerholz, T.
    Ufelmann, M.
    Waydhas, C.
    Weimann, J.
    Wildenauer, R.
    Woebker, G.
    Wrigge, H.
    Riessen, R.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2023, 64 : 333 - 354
  • [4] Quality assurance concepts in intensive care medicine
    Brinkmann, A.
    Braun, J. P.
    Riessen, R.
    Dubb, R.
    Kaltwasser, A.
    Bingold, T. M.
    MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN, 2015, 110 (08) : 575 - +
  • [5] Quality assurance concepts in intensive care medicine
    Brinkmann, A.
    Braun, J. P.
    Riessen, R.
    Dubb, R.
    Kaltwasser, A.
    Bingold, T. M.
    MEDIZINISCHE KLINIK-INTENSIVMEDIZIN UND NOTFALLMEDIZIN, 2015, 110 (08) : 575 - +
  • [6] Quality assurance and guidelines in intensive care medicine
    Graf, J
    MEDIZINISCHE KLINIK, 2006, 101 : 115 - 118
  • [7] Quality indicators in intensive care medicine 2017-third edition -
    Kumpf, O.
    Braun, J. -P.
    Brinkmann, A.
    Bause, H.
    Bellgardt, M.
    Bloos, F.
    Dubb, R.
    Greim, C. -A.
    Kaltwasser, A.
    Marx, G.
    Riessen, R.
    Spies, C.
    Weimann, J.
    Woebker, G.
    Muhl, E.
    Waydhas, C.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2018, 59 : 326 - 349
  • [8] The DGAI dual concept for quality assurance in intensive care medicine
    Bause, H.
    Ragaller, M.
    Gerlach, H.
    Kuckelt, W.
    Kuhlen, R.
    Max, M.
    Meier-Hellmann, A.
    Reinhart, K.
    Schleppers, A.
    Specht, M.
    Spies, C.
    Wegermann, R.
    Wilhelm, W.
    Martin, J.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2007, 48 : S28 - S31
  • [9] Quality indicators in intensive care medicine 2013-second edition -
    Braun, J. -P.
    Kumpf, O.
    Deja, M.
    Brinkmann, A.
    Marx, G.
    Bloos, F.
    Kaltwasser, A.
    Dubb, R.
    Muhl, E.
    Greim, C.
    Bause, H.
    Weiler, N.
    Chop, I.
    Waydhas, C.
    Spies, C.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2014, 55 : 69 - +
  • [10] Quality indicators in intensive care medicine: why? Use or burden for the intensivist
    Braun, J. -P.
    Mende, H.
    Bause, H.
    Bloos, F.
    Geldner, G.
    Kastrup, M.
    Kuhlen, R.
    Markewitz, A.
    Martin, J.
    Quintel, M.
    Steinmeier-Bauer, K.
    Waydhas, C.
    Spies, C.
    ANASTHESIOLOGIE & INTENSIVMEDIZIN, 2010, 51 : S809 - S822
12345