[General automated documentation and performance data on the surgical intensive care unit--the theoretical concept of the Regensburg Surgical University Clinic].
Documentation is becoming an ever more time-consuming task due to the need to document increasing ICU productivity, quality management and cost-assessment data. Automatic charting of on-line monitoring data, therapeutic-device data, clinical laboratory data, microbiological data, radiological data and other data reduces documentation time significantly. One of the major advantages of PDMS in the SICU is the quality of the documentation and with better documentation the therapist is able to improve the quality of care. Not only the physician, but also nurses and physiotherapists are able to benefit from these advantages. Our concept, SURGIC (Department of Surgery, University Regensburg, Germany, Intensive Care), stands for: widely automated documentation, work orientation, including physicians, nurses' and physiotherapists' tasks, minimal dataset for simple use and perfect overview, costs assessments, scientific dataset, SICU PDMS as a part of the clinical information system, and professional support by a software-house is necessary.
Mann
S
S
Klinik und Poliklinik für Chirurgie, Universität Regensburg.
Wiedmann
S
S
Mann
U
U
Zirngibl
H
H
D003199:Computer Systems; D003362:Cost-Benefit Analysis; D003422:Critical Care / Q000191:economics; D003625:Data Collection; D004282:Documentation / Q000191:economics / Q000379:methods*; D006751:Hospital Information Systems / Q000191:economics / Q000458:organization & administration*; D006801:Humans; D016347:Medical Records Systems, Computerized / Q000191:economics / Q000295:instrumentation*; D008991:Monitoring, Physiologic / Q000191:economics / Q000295:instrumentation*; D010348:Patient Care Team; D011183:Postoperative Complications / Q000191:economics / Q000628:therapy*; D012984:Software
Weitgehend automatisierte Dokumentation und Leistungserfassung auf der Chirurgischen Intensivstation--das Sollkonzept der Chirurgischen Universitätsklinik Regensburg.