المؤلفون: Kumpf, Oliver, Bloos, Frank, Bause, Hanswerner, Brinkmann, Alexander, Deja, Maria, Marx, Gernot, Kaltwasser, Arnold, Dubb, Rolf, Muhl, Elke, Greim, Clemens-A., Weiler, Norbert, Chop, Ines, Jonitz, Günther, Schaefer, Henning, Felsenstein, Matthias, Liebeskind, Ursula, Leffmann, Carsten, Jungbluth, Annemarie, Waydhas, Christian, Pronovost, Peter, Spies, Claudia, Braun, Jan-Peter

المصدر: GMS German Medical Science, Vol 12, p Doc17 (2014)

مصطلحات موضوعية: peer review, critical care, patient safety, quality improvement, quality management, Medicine

الوصف: [english] Introduction: Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports.Methods: Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs – representing over 300 patient beds – had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. Results: External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interestingConclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators.

وصف الملف: electronic resource

العلاقة: http://www.egms.de/static/en/journals/gms/2014-12/000202.shtmlTest; https://doaj.org/toc/1612-3174Test

الوصول الحر: https://doaj.org/article/c7dcf99c11aa40fe84749d57282dc063Test

المؤلفون: Weiler, Norbert, Chop, Ines, Greim, Clemens, Bause, Hanswerner, Muhl, Elke, Dubb, Rolf, Kaltwasser, Arnold, Bloos, Frank, Marx, Gernot, Brinkmann, Alexander, Deja, Maria, Kumpf, Oliver, Braun, Jan-Peter, Waydhas, Christian, Spies, Claudia

المصدر: GMS German Medical Science, Vol 11, p Doc09 (2013)

مصطلحات موضوعية: quality management, intensive care medicine, quality indicators, peer review, Qualitätsmanagement, Intensivmedizin, Peer Review, Qualitätsindikatoren, Medicine

الوصف: [english] Quality indicators are key elements of quality management. The quality indicators for intensive care medicine of the German Interdisciplinary Society of Intensive Care Medicine (DIVI) from the year 2010 were recently evaluated when their validity time expired after two years. Overall one indicator was replaced and further three were in part changed. The former indicator I “elevation of head of bed” was replaced by the indic “Daily multi-professional ward rounds with the documentation of daily therapy goals” and added to the indicator IV “Weaning and other measures to prevent ventilator associated pneumonias (short: Weaning/VAP Bundle)” (VAP = ventilator-associated pneumonia) which aims at the reduction of VAP incidence. The indicator VIII “Documentation of structured relative-/next-of-kin communication” was refined. The indic X “Direction of the ICU by a specially trained certified intensivist with no other clinical duties in a department” was also updated according to recent study results. These updated quality indicators are part of the Peer Review in intensive care medicine. The next update of the quality indicators is due in 2016.[german] Qualitätsindikatoren sind elementare Bestandteile des Qualitätsmanagements. Die Qualitätsindikatoren für die Intensivmedizin der Deutschen Interndisziplinären Vereinigung für Intensivmedizin (DIVI) aus dem Jahre 2010 sind nun im Rahmen der geplanten Geltungsdauer überarbeitet und angepasst worden. Insgesamt wurde ein Indikator ersetzt und drei weitere zum Teil wesentlich überarbeitet. Der alte Indikator I „Oberkörperhochlagerung“ wurde durch den Indikator „Tägliche multiprofessionelle, klinische Visite mit Dokumentation von Tageszielen“ ersetzt und in den neu geschaffenen Indikator IV „Weaning und Maßnahmen zur Vermeidung von ventilatorassoziierten Pneumonien (kurz: Weaning/VAP Bundle)“ (VAP = ventilator-assoziierte Pneumonie) integriert, der auf ein Verringerung der VAP-Inzidenz abzielt. Der Indikator VIII „Dokumentation von strukturierten Angehörigengesprächen“ wurde weiter präzisiert. Der Indikator X „Leitung der Intensivstation durch einen Facharzt mit Zusatzbezeichnung Intensivmedizin, der keine anderen klinischen Aufgaben hat“ anhand der aktuellen Studienlage ebenfalls präzisiert. Die aktualisierten Qualitätsindikatoren sind Bestandteil der intensivmedizinischen Peer Reviews. Ihre nächste Aktualisierung ist für das Jahr 2016 geplant.

وصف الملف: electronic resource

العلاقة: http://www.egms.de/static/en/journals/gms/2013-11/000177.shtmlTest; https://doaj.org/toc/1612-3174Test

الوصول الحر: https://doaj.org/article/9aad6565fc0d4a45a3fddabd6e9d0875Test

المؤلفون: Braun, Jan-Peter, Kumpf, Oliver, Bause, Hanswerner, Weiler, Norbert, Chop, Ines, Waydhas, Christian, Spies, Claudia D., Deja, Maria, Brinkmann, Alexander, Marx, Gernot, Bloos, Frank, Kaltwasser, Arnold, Dubb, Rolf, Muhl, Elke, Greim, Clemens

المصدر: GMS german medical science 11, Doc09 (2013). doi:10.3205/000177

جغرافية الموضوع: DE

العلاقة: info:eu-repo/semantics/altIdentifier/issn/1612-3174; info:eu-repo/semantics/altIdentifier/pmid/pmid:23904823; https://publications.rwth-aachen.de/record/233772Test; https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-082651%22Test

الإتاحة: https://doi.org/10.3205/000177Test
https://doi.org/10.18154/RWTH-CONV-082651Test
https://publications.rwth-aachen.de/record/233772Test
https://publications.rwth-aachen.de/search?p=id:%22RWTH-CONV-082651%22Test

المؤلفون: Euteneier, Alexander, Chop, Ines, Eberlein-Gonska, Maria

المصدر: Handbuch Klinisches Risikomanagement ; page 557-616 ; ISBN 9783662451496 9783662451502

الإتاحة: https://doi.org/10.1007/978-3-662-45150-2_33Test

المؤلفون: Kumpf, Oliver, Bloos, Frank M., Bause, Hanswerner, Brinkmann, Alexander, Deja, Maria, Marx, Gernot, Kaltwasser, Arnold, Dubb, Rolf, Muhl, Elke, Greim, Clemens Alexander, Weiler, Norbert, Chop, Ines, Jonitz, Günther, Schaefer, Henning, Felsenstein, Matthias, Liebeskind, Ursula, Leffmann, Carsten, Jungbluth, Annemarie, Waydhas, Christian, Pronovost, Peter J., Spies, Claudia Doris, Braun, Jan Peter

مصطلحات موضوعية: education, Medizin

الوصف: Introduction: Quality improvement and safety in intensive care are rapidly evolving topics. However, there is no gold standard for assessing quality improvement in intensive care medicine yet. In 2007 a pilot project in German intensive care units (ICUs) started using voluntary peer reviews as an innovative tool for quality assessment and improvement. We describe the method of voluntary peer review and assessed its feasibility by evaluating anonymized peer review reports and analysed the thematic clusters highlighted in these reports. Methods: Retrospective data analysis from 22 anonymous reports of peer reviews. All ICUs – representing over 300 patient beds – had undergone voluntary peer review. Data were retrieved from reports of peers of the review teams and representatives of visited ICUs. Data were analysed with regard to number of topics addressed and results of assessment questionnaires. Reports of strengths, weaknesses, opportunities and threats (SWOT reports) of these ICUs are presented. Results: External assessment of structure, process and outcome indicators revealed high percentages of adherence to predefined quality goals. In the SWOT reports 11 main thematic clusters were identified representative for common ICUs. 58.1% of mentioned topics covered personnel issues, team and communication issues as well as organisation and treatment standards. The most mentioned weaknesses were observed in the issues documentation/reporting, hygiene and ethics. We identified several unique patterns regarding quality in the ICU of which long-term personnel problems und lack of good reporting methods were most interesting Conclusion: Voluntary peer review could be established as a feasible and valuable tool for quality improvement. Peer reports addressed common areas of interest in intensive care medicine in more detail compared to other methods like measurement of quality indicators.

الوصول الحر: https://explore.openaire.eu/search/publication?articleId=unidue___bib::7309e1a8907362c206beed3b6c0c9540Test

المؤلفون: Chop, Ines

المصدر: Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen ; volume 106, issue 8, page 555-559 ; ISSN 1865-9217

مصطلحات موضوعية: Medicine (miscellaneous), Health Policy, Education

الإتاحة: https://doi.org/10.1016/j.zefq.2012.08.001Test
https://api.elsevier.com/content/article/PII:S1865921712002395?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S1865921712002395?httpAccept=text/plainTest

المؤلفون: Chop, Ines, Eberlein-Gonska, Maria

المصدر: Zeitschrift für Evidenz, Fortbildung und Qualität im Gesundheitswesen ; volume 106, issue 8, page 547-552 ; ISSN 1865-9217

مصطلحات موضوعية: Medicine (miscellaneous), Health Policy, Education

الإتاحة: https://doi.org/10.1016/j.zefq.2012.08.017Test
https://api.elsevier.com/content/article/PII:S1865921712002553?httpAccept=text/xmlTest
https://api.elsevier.com/content/article/PII:S1865921712002553?httpAccept=text/plainTest