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Einführung von Operationschecklisten als Teil des Risikomanagements

Sind harte Daten zur Komplikationsvermeidung verfügbar?

Introduction of operating room checklists as a part of clinical risk management

Are there hard facts on complication prevention available?

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Zusammenfassung

Seit ungefähr 10 Jahren nehmen Aspekte des Qualitäts- und Risikomanagements fast flächendeckend Einzug in die Krankenhäuser und die Medizin allgemein, was von vielen Ärzten als Paradigmenwechsel empfunden wird. Inzwischen ist die verpflichtende Anwendung der WHO-Operationscheckliste in vielen Kliniken zur Routine geworden, mit allerdings unterschiedlicher Akzeptanz. Die aktuelle Datenlage bestätigt den positiven Effekt der Checkliste auf die Komplikationsrate und die Mortalität. Dieser Effekt ist auf eine Verbesserung der Sicherheitskultur im Operationssaal zurückzuführen.

Abstract

For approximately the past 10 years the aspects of quality and risk management have spread widely not only into the realm of hospitals but also into overall general medicine, which is viewed by many physicians as a paradigmatic change.

The required use of the WHO operating room (OR) checklist has in the meantime become routine procedure in many hospitals but with varying degrees of acceptance. Current data reaffirm the positive effect of the checklist in lowering complication and mortality rates. This effect can be directly traced to a higher level for safety culture in the OR.

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Authors and Affiliations

  1. Klinik und Poliklinik für Chirurgie, Abteilung für Allgemeine Chirurgie, Viszeral-, Thorax- und Gefäßchirurgie, Universitätsmedizin Greifswald, Ferdinand-Sauerbruchstraße, 17475, Greifswald, Deutschland

    A. Busemann, A. Schreiber &  C.-D. Heidecke MBA

Authors
  1. A. Busemann
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  2. A. Schreiber
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  3. C.-D. Heidecke MBA
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Corresponding author

Correspondence to C.-D. Heidecke MBA.

Additional information

C.-D. Heidecke ist Vorsitzender der Chirurgischen Arbeitsgemeinschaft für Qualität und Sicherheit (CAQS) der Deutschen Gesellschaft für Chirurgie.

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Busemann, A., Schreiber, A. & Heidecke, CD. Einführung von Operationschecklisten als Teil des Risikomanagements. Chirurg 83, 611–616 (2012). https://doi.org/10.1007/s00104-011-2209-2

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  • DOI: https://doi.org/10.1007/s00104-011-2209-2

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