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[外科手术中的中心患者管理]

[Central patient management in surgery].

作者信息

Friess H, Kleeff J, Büchler P, Hartwig W, Schmidt J, Radnic S, Auer S, Büchler M W

机构信息

Abteilung für Allgemeine, Viszerale, Unfallchirurgie und Poliklinik, Chirurgische Klinik, Universität Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg.

出版信息

Chirurg. 2002 Feb;73(2):111-7. doi: 10.1007/s00104-001-0412-2.

DOI:10.1007/s00104-001-0412-2
PMID:11974473
Abstract

Up to now, in most surgical departments there has been no central patient management coordinating the admission, the diagnostic work-up, and the surgical procedures of patients with the resources available in the hospital. In future, however, it will be essential for surgical departments to establish such a central patient management, not only in view of the importance of patient-oriented medicine but also considering the planned introduction of diagnosis related groups. A central patient management will reduce preoperative and overall length of stay through adequate organisation and communication structures. In addition, a central patient management will make optimal use of the available resources in terms of operation rooms and hospital beds. In this article, we will present our basic concept of a central patient management in a surgical university department.

摘要

到目前为止,在大多数外科科室中,尚未设立中央患者管理系统来协调患者的入院、诊断检查以及利用医院现有资源开展的外科手术。然而,未来外科科室建立这样一个中央患者管理系统至关重要,这不仅是鉴于以患者为导向的医疗的重要性,也是考虑到计划引入的诊断相关分组。通过适当的组织和沟通结构,中央患者管理将缩短术前住院时间和总住院时间。此外,中央患者管理将在手术室和医院床位方面优化利用现有资源。在本文中,我们将介绍我们在一所大学外科科室的中央患者管理的基本理念。

相似文献

1
[Central patient management in surgery].[外科手术中的中心患者管理]
Chirurg. 2002 Feb;73(2):111-7. doi: 10.1007/s00104-001-0412-2.
2
[Contribution of anesthesia to workflow operation].麻醉对工作流程操作的贡献
Chirurg. 2002 Feb;73(2):118-21. doi: 10.1007/s00104-001-0413-1.
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[Central case management in surgery].
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[Modern operations management in workflow operation. Spectrum of responsibilities and challenges for the future].[工作流操作中的现代运营管理。未来的职责范围与挑战]
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["Lean" surgery. changes in the surgical "workflow"].["精益"手术。手术“工作流程”的变化]
Chirurg. 2002 Feb;73(2):103-4. doi: 10.1007/s00104-001-0410-4.
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[What consequences will have the introduction of German Diagnosis Related Groups (G-DRGs) in surgical departments?].[外科引入德国诊断相关分组(G-DRGs)会有什么后果?]
Zentralbl Chir. 2002 Aug;127(8):651-5. doi: 10.1055/s-2002-33569.
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'Lean' surgery through changes in surgical work flow.
Br J Surg. 2003 May;90(5):513-4. doi: 10.1002/bjs.4165.
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[Cost data of standard surgical interventions].[标准外科手术干预的成本数据]
Langenbecks Arch Chir Suppl Kongressbd. 1997;114:818-21.
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[Challenges of surgery from the viewpoint of hospital management].
Chirurg. 2008 Nov;Suppl:374-5.
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[Which wards or hospital departments admit mentally ill patients? An analysis of hospital admissions recorded by the German Statutory Sickness Insurance Body in the light of the introduction of German budgeting practice].哪些病房或医院科室收治精神疾病患者?根据德国预算编制实践的引入情况,对德国法定医疗保险机构记录的医院入院情况进行分析
Gesundheitswesen. 2003 Aug-Sep;65(8-9):486-94. doi: 10.1055/s-2003-42389.

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Chirurg. 2012 Apr;83(4):327-31. doi: 10.1007/s00104-011-2222-5.
2
A concept for trial institutions focussing on randomised controlled trials in surgery.一个针对专注于外科随机对照试验的试验机构的概念。
Trials. 2008 Jan 24;9:3. doi: 10.1186/1745-6215-9-3.
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[Project "Partnership"--university surgical departments and hospitals for basic and regular medical care. Directing cooperation for the future].
Chirurg. 2007 Apr;78(4):368-73. doi: 10.1007/s00104-006-1266-4.
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Protocol design and current status of CLIVIT: a randomized controlled multicenter relevance trial comparing clips versus ligatures in thyroid surgery.CLIVIT的方案设计与现状:一项在甲状腺手术中比较夹子与结扎线的随机对照多中心相关性试验
Trials. 2006 Sep 1;7:27. doi: 10.1186/1745-6215-7-27.
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Leadership characteristics and business management in modern academic surgery.现代学术外科中的领导特质与业务管理
Langenbecks Arch Surg. 2006 Apr;391(2):149-56. doi: 10.1007/s00423-006-0040-x. Epub 2006 Mar 30.