[Quality assurance concepts in intensive care medicine].
Intensive care medicine (ICM) is characterized by a high degree of complexity and requires intense communication and collaboration on interdisciplinary and multiprofessional levels. In order to achieve good quality of care in this environment and to prevent errors, a proactive quality and error management as well as a structured quality assurance system are essential. Since the early 1990s, German intensive care societies have developed concepts for quality management and assurance in ICM. In 2006, intensive care networks were founded in different states to support the implementation of evidence-based knowledge into clinical routine and to improve medical outcome, efficacy, and efficiency in ICM. Current instruments and concepts of quality assurance in German ICM include core intensive care data from the data registry DIVI REVERSI, quality indicators, peer review in intensive care, IQM peer review, and various certification processes. The first version of German ICM quality indicators was published in 2010 by an interdisciplinary and interprofessional expert commission. Key figures, indicators, and national benchmarks are intended to describe the quality of structures, processes, and outcomes in intensive care. Many of the quality assurance tools have proved to be useful in clinical practice, but nationwide implementation still can be improved.
Klinik für Anästhesiologie, operative Intensivmedizin und spezielle Schmerztherapie, Klinikum Heidenheim, gGmbH, Schlosshaustraße 100, 89522, Heidenheim, Deutschland. alexander.brinkmann@kliniken-heidenheim.de.
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Brinkmann
Klinik für Anästhesie, Intensivmedizin und Schmerztherapie, Helios Klinikum Hildesheim, Hildesheim, Deutschland.
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Braun
Internistische Intensivstation, Department für Innere Medizin, Universitätsklinikum Tübingen, Tübingen, Deutschland.
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Riessen
Akademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Reutlingen, Deutschland.
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Dubb
Akademie der Kreiskliniken Reutlingen, Kreiskliniken Reutlingen GmbH, Reutlingen, Deutschland.
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Kaltwasser
Klinik für Anästhesiologie, Intensivmedizin und Schmerztherapie, Universitätsklinikum Frankfurt, Frankfurt/Main, Deutschland.
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Bingold
D002568:Certification / Q000592:standards; D003422:Critical Care / Q000592:standards*; D019317:Evidence-Based Medicine / Q000592:standards; D005858:Germany; D006801:Humans; D033183:Interdisciplinary Communication; D000070516:Intersectoral Collaboration; D010380:Peer Review; D011785:Quality Assurance, Health Care / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards
Certification; Critical care; Patient care; Peer review; Quality assurance, heathcare