Der Anaesthesist

, Volume 64, Issue 12, pp 911–926 | Cite as

Patientensicherheit in der Anästhesie

Multimodale Strategien für die perioperative Versorgung
  • C. Neuhaus
  • R. Röhrig
  • G. Hofmann
  • S. Klemm
  • S. Neuhaus
  • S. Hofer
  • M. Thalheimer
  • M.A. Weigand
  • C. Lichtenstern
Leitthema

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.

Schlüsselwörter

Perioperative Versorgung Risikomanagement Medizinische Fehler Human Factors „Crew Resource Management“ 

Patient safety in anesthesiology

Multimodal strategies for perioperative care

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.

Keywords

Perioperative care Risk management Medical errors Human factors Crew Resource Management 

Notes

Einhaltung ethischer Richtlinien

Interessenkonflikt

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.

Dieser Beitrag beinhaltet keine Studien an Menschen oder Tieren.

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Copyright information

© Springer-Verlag Berlin Heidelberg 2015

Authors and Affiliations

  • C. Neuhaus
    • 1
  • R. Röhrig
    • 2
  • G. Hofmann
    • 1
  • S. Klemm
    • 1
  • S. Neuhaus
    • 1
  • S. Hofer
    • 1
  • M. Thalheimer
    • 3
  • M.A. Weigand
    • 1
  • C. Lichtenstern
    • 1
  1. 1.Klinik für AnästhesiologieUniversitätsklinikum HeidelbergHeidelbergDeutschland
  2. 2.Abteilung Medizinische InformatikCarl von Ossietzky UniversitätOldenburgDeutschland
  3. 3.Abteilung Qualitätsmanagement/MedizincontrollingUniversitätsklinikum HeidelbergHeidelbergDeutschland

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