Knaebel S, Skonetzki S, Nelle M, Wetter T, Linderkamp O
Abteilung Kinderheilkunde IV, Universitäts-Klinikum Heidelberg.
Z Arztl Fortbild Qualitatssich. 2000 Sep;94(8):683-8.
To assess the use of guidelines in neonatology we conducted a survey on hyperbilirubinemia in 185 German pediatric hospitals from June to September 1999. Of these 136 hospitals (73%) treating infants with hyperbilirubinemia responded. Specific standards or guidelines were used by 99% of participating hospitals. 49% of those used a hospital-based guideline, 54% the recommendations of the Gesellschaft für Neonatologie und pädiatrische Intensivmedizin, 24% another not further specified guideline. In 98% of the hospitals paper copies were used. In 21% of the hospitals the implemented guidelines were also electronically available. A coordinator for their guidelines was available in 51% of the hospitals, whereas 49% did not coordinate locally the use of their guidelines. In conclusion, guidelines should be well maintained and regularly updated in order that they do not lose their impact and significance. In addition, the potential of these concise summaries of medical expertise do not seem to be fully exploited.
为评估新生儿学指南的使用情况，我们于1999年6月至9月对185家德国儿科医院的高胆红素血症情况进行了一项调查。其中，136家（73%）治疗高胆红素血症婴儿的医院做出了回应。99%的参与医院使用了特定的标准或指南。其中49%使用的是基于医院的指南，54%使用的是德国新生儿学和儿科重症医学协会的建议，24%使用的是另一种未进一步明确的指南。98%的医院使用纸质版指南。21%的医院所实施的指南也有电子版。51%的医院设有指南协调员，而49%的医院未在当地对指南的使用进行协调。总之，指南应得到妥善维护并定期更新，以免失去其影响力和重要性。此外，这些医学专业知识简明摘要的潜力似乎尚未得到充分发挥。
