Fehler und Fehlermeldesysteme in der Anästhesiologie

Hübler, Matthias; Möllemann, A.; Metzler, H.; Koch, Thea

doi:10.1007/s00101-007-1239-0

Cited by 10 publications

(3 citation statements)

References 10 publications

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“…Die Vielfalt der entstandenen Erfassungssysteme ist groß. Sie beschränken sich entweder auf Abteilungen [3,4,5], auf Krankenhäuser [6], auf Krankenhauskonzerne oder auf einzelne Fachgebiete [8]. Sie agieren entsprechend entweder lokal, regional oder national [7].…”

Section: Hintergrundunclassified

Kritische Ereignisse mit Medizinprodukten

2012

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Various vigilance systems have been established in medicine during the last two decades. The aims are the identification of critical incidents and to implement appropriate countermeasures thus decreasing the likelihood of accidents and increasing patient and user safety. The types of systems are very divergent: they are either restricted to individual departments, hospitals, specialist or occupational groups or function nationwide. The legislative provision for medical products also includes critical incident surveillance and reporting systems and focuses on the subset of events with involvement of medical products. The responsible German authority is the Federal Institute for Drugs and Medical Products which contacts manufacturers and informs users. This article describes experiences with the responsible authority. Not all users are aware that an obligation for reporting exists. A proposal is made to simplify the reporting process in order to enhance user willingness for reporting. Additionally, it is suggested that a link should be incorporated into all existing critical incident reporting systems which can forward the user to the specific reporting website.

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Section: Hintergrundunclassified

Kritische Ereignisse mit Medizinprodukten

2012

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“…Die Leistungsverdichtung im OP und der erh€ ohte Patientendurchlauf auf den Stationen bergen aber auch das Risiko von Fehlern und somit eine Abnahme der Patientensicherheit [12]. Die Implementierung eines ,,critical incident reporting system , , …”

Section: Sop Zur Patientensicherheitunclassified

Standard operating procedures und OP-Management zur Steigerung der Patientensicherheit und der Effizienz von Prozessabläufen

Bleyl

Heller

2008

Wien Med Wochenschr

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Financial pressures have led the way more efficiency in health care management. To decrease hospital costs a more proficient use of personal resources is required. The drive to increase efficiency with the concomitant increase in workload can cause a reduction in quality of patient care and of patient security. A professional operating room (OR) management and the introduction of standard operating procedures (SOP) have helped to optimise workflow in and around the OR. OR management can control an efficient workflow and generate data concerning performance, costs and quality. SOPs lead to a standardisation of workflow in the OR and in patient treatment modalities. This guaranties a high quality in patient care and more safety despite an increase in work-load.

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“…Hier an schließt sich eine Erfassung mit einer Ursachenanalyse und abgeleiteten Konse quenzen an. Die zur Verfügung stehenden Möglichkeiten sind vielfältig [9] und hän gen u. a. von den lokalen Gegebenheiten und der herrschenden Fehlerkultur ab. In der Klinik und Poliklinik für Anästhesio logie des Universitätsklinikums Dresden wurde im Jahr 2003 in der Anästhesie ein anonymes Meldesystem kritischer Ereig nisse eingeführt [15].…”

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Anonymes Meldesystems für kritische Ereignisse

et al. 2008

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In 2003 an anonymous reporting system for critical incidents was implemented in the Department of Anaesthesiology and Intensive Care Medicine of the University Hospital Dresden. This reporting system was modified to an intranet-based version and extended to the intensive care unit (ICU). During the first 18 months 70 anonymous reports originating from the ICU were registered. The most common errors involved fluid management, followed by errors in airway management, cardio-vascular management, neurological problems and errors in drug administration. The main causes were lack of attention, missing check of measures, work load of nurses, experience and communication deficits. The article discusses the incidence of errors in the ICU setting and their potential effects.

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Fehler und Fehlermeldesysteme in der Anästhesiologie

Cited by 10 publications

References 10 publications

Kritische Ereignisse mit Medizinprodukten

Kritische Ereignisse mit Medizinprodukten

Standard operating procedures und OP-Management zur Steigerung der Patientensicherheit und der Effizienz von Prozessabläufen

Anonymes Meldesystems für kritische Ereignisse

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