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Änderungen in der SIDS-Beratung und -Prävention im Anschluss an den 4. österreichischen SIDS-Konsens von 1998

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Zusammenfassung

Änderungen.

Aufgrund neuerer wissenschaftlicher Erkenntnisse wurde im 4. österreichischen SIDS-Konsensusgespräch 1998 festgehalten, dass Polysomnographie und Heimmonitoring keine effizienten Mittel zur Erkennung und Prävention des SIDS-Risikos darstellen. In unserer Beratungsstelle wurde die resultierende Einschränkung der apparativen Diagnostik und Überwachung ersetzt durch: a) Verbesserung der Beratungsqualität durch Kommunikationstraining des Beratungsteams und inhaltliches Fokussieren allgemeiner Sicherheitsmaßnahmen in der Säuglingspflege; b) Einführung des Case-Managements für Patienten und Eltern an kritischen Schnittstellen im Krankenhaus und in der ambulanten Betreuung; c) Fortbildung des Kernteams und Multiplikatortätigkeit nach außen. Die Folge dieser Veränderungen waren eine Vermehrung der Zuweisungen von niedergelassenen Fachärzten sowie ein Rückgang der Selbstkommer und der Ambulanzzahlen im Allgemeinen.

Ziele.

Ziel dieses Qualitätsmanagementprojekts ist die Verbesserung der Ergebnisqualität. Diese kann mittelfristig durch Erhebung der Patienten- und Mitarbeiterzufriedenheit und langfristig durch die Auswirkungen auf die SIDS-Inzidenz evaluiert werden.

Abstract

Alterations.

Based on recent scientific findings, it was established at the 4th Austrian SIDS Consensus Meeting that polysomnography and home monitoring are no efficient means of detecting and preventing the risk of SIDS. At our consultation center, the resulting limited application of equipment-based diagnostic methods and monitoring has been replaced by: a) an improvement in the quality of consultation and communication training of the counseling team as well as focusing on general safety measures in infant care; b) the introduction of case management for patients / parents at critical points of intersection in the hospital and in outpatient care; c) advanced training of the core and dissemination of the same in the rest of the team. As a result of these alterations the following changes were noted: a shift in the referral profile, i.e. patients were referred more frequently from specialists' offices outside the hospital; a reduction in the number of patients/parents coming to the hospital on their own; and generally lesser numbers of outpatients.

Aims.

The purpose of this quality management project is to improve the quality of outcome. The latter will be evaluated in the mid term by assessing the level of satisfaction among patients and staff, and in the long term by the effect of these measures on the incidence of SIDS.

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Authors and Affiliations

  1. SIDS-Beratungs-, Forschungs- und Koordinationszentrum AKH, Wien

    O. S. Ipsiroglu, M. Urschitz & A. Pollak

  2. SIDS-Beratungs-, Forschungs- und Koordinationszentrum AKH, Abteilung für Neonatologie, angeborene Störungen und Intensivmedizin, Universitätsklinik für Kinder- und Jugendheilkunde, Währinger Gürtel 18–20, 1090, Wien, Österreich

    O. S. Ipsiroglu

Authors
  1. O. S. Ipsiroglu
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  2. M. Urschitz
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  3. A. Pollak
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Correspondence to O. S. Ipsiroglu.

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Ipsiroglu, O.S., Urschitz, M. & Pollak, A. Änderungen in der SIDS-Beratung und -Prävention im Anschluss an den 4. österreichischen SIDS-Konsens von 1998. Monatsschr Kinderheilkd 151, 749–756 (2003). https://doi.org/10.1007/s00112-002-0593-x

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