Zusammenfassung
Patientensicherheit bei optimaler Behandlung ist ein zunehmendes zentrale Anliegen
unseres Gesundheitssystems. Die technischen Möglichkeiten zur Diagnostik und Therapie
in der Notfallmedizin entwickeln sich in rasanter Geschwindigkeit weiter. Dies fordert
von Notärzten in ihrer präklinischen Tätigkeit verstärkt komplexe Denkleistungen und
Arbeitsvorgänge, die einer hohen Spezialisierung und Qualifikation bedürfen. Gleichzeitig
erfordert dies ein entsprechend an die Tätigkeit angepasstes Risikomanagement, um
dem Anspruch der bestmöglichen Patientenversorgung dauerhaft gerecht zu werden. Ein
anonymes Critical Incident Reporting System (CIRS), welches sich aus der Luftfahrt
entwickelte und dort für die Entwicklung von Sicherheitssystemen bewährt hat, eignet
sich sehr gut zur Erfassung von kritischen Zwischenfällen in der präklinischen Notfallmedizin.
Ähnlich wie im Fachgebiet der Anästhesie, in der anonyme Meldesysteme wertvolle Hinweise
auf Systemschwächen geben konnten, können auch Notärzte für ihre Arbeit mit den Hochrisikopatienten
davon profitieren.
Abstract
Patient safety in combination with their optimal treatment plays a more and more important
role in our medical system. Devices for diagnosis and treatment in the field of prehospital
emergency medicine underlie a constant and fast technical development. The increasing
complex tasks in the prehospital field require high cognitive skills and a high specialization
as well as qualification from emergency physicians. At the same time, an appropriate
risk management is mandatory in order to maintain the optimal diagnostic and therapeutic
regime for the patients. An anonymous Critical Incident Reporting System (CIRS), which
derived from the aviation and already served well for the development of safety systems,
is well suited for identification of critical incidents in the field of prehospital
emergency medicine. Emergency physicians in their work with high risk patients can
take advantage from this anonymous reporting system, as anaesthesiologists already
profited from it previously.
Schlüsselwörter
Critical Incident Reporting System - präklinische Notfallmedizin - Risikomanagement
- Patientensicherheit - kritische Zwischenfälle
Key words
critical incident reporting system - prehospital emergency medicine - risk management
- patient safety - critical incidents
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Dr. med. Christian Hohenstein
Abteilung für Anästhesiologie, Klinikum Kempten Oberallgäu gGmbH
Robert-Weixler-Straße 50
87439 Kempten
Email: info@dr-hohenstein.de