Vagts D A, Bauer M, Martin J
Klinik und Poliklinik für Anästhesiologie und Intensivtherapie, Universität Rostock, Schillingallee 35, 18057 Rostock, Deutschland.
Anaesthesist. 2009 Jan;58(1):81-7. doi: 10.1007/s00101-008-1465-0.
Certification is a compulsory element of today's quality management. However, the instruments used for certification have mostly originally been developed for industrial purposes. Even with tried and tested adaptation to hospital structures, transferring these instruments to the medical environment implies partial negligence of outcome quality. This fact is due to the multidimensional structure of medical outcome quality, which cannot be reduced to only one indicator. This review describes the necessity to develop a specific indicator system, which is needed for an objective, reliable and valid system of certification for intensive care units. The second part of the review describes the current efforts which are being undertaken to develop such a certification system for German intensive care units. Until this new system has been validated, certification of intensive care units is of limited value for evaluating the quality of intensive care units in Germany.
认证是当今质量管理的一个强制性要素。然而，用于认证的工具最初大多是为工业目的而开发的。即便经过了对医院结构的反复验证和调整，将这些工具应用于医疗环境仍意味着对结果质量的部分忽视。这一事实源于医疗结果质量的多维结构，它不能仅仅归结为一个指标。本综述阐述了开发特定指标体系的必要性，这是重症监护病房客观、可靠且有效的认证体系所必需的。综述的第二部分描述了目前为德国重症监护病房开发此类认证体系所做的努力。在这个新体系得到验证之前，重症监护病房的认证对于评估德国重症监护病房的质量价值有限。
