Motsch J, Martin E
Anaesthesiologische Klinik, Universitätsklinikum Heidelberg, Im Neuenheimer Feld 110, 69120 Heidelberg.
Chirurg. 2002 Feb;73(2):118-21. doi: 10.1007/s00104-001-0413-1.
The changes in our health care system caused by the introduction of DRGs make it necessary for us to abandon departmental process structures in favour of total hospital orientated process structures. An interdisciplinary approach is crucial to enable the most effective use of personnel and material resources. Future orientated information technology and organisational structures will enable us to process our patients effectively and efficiently from pre-admission to discharge. Anaesthesia has to be integrated into a patient management system for in- and out-patients. The essential matters for consideration are anaesthesia consulting hours, the common establishment of process structures for preoperative care, operation room management and postoperative patient care. Routine controls and analysis of the required teamwork reveal improvement potential and enable us to use the necessary control elements effectively.
疾病诊断相关分组（DRGs）的引入给我们的医疗保健系统带来了变化，这使得我们有必要摒弃部门流程结构，转而采用以医院整体为导向的流程结构。跨学科方法对于实现人员和物资资源的最有效利用至关重要。面向未来的信息技术和组织结构将使我们能够从入院前到出院有效地、高效地处理患者。麻醉必须融入门诊和住院患者的管理系统。需要考虑的关键事项包括麻醉咨询时间、术前护理、手术室管理和术后患者护理流程结构的共同建立。对所需团队合作进行常规控制和分析可发现改进潜力，并使我们能够有效地使用必要的控制要素。
