Ernstberger A, Koller M, Nerlich M
Abteilung für Unfallchirurgie, Universitätsklinikum Regensburg, Franz-Josef-Strauss-Allee 11, 93042, Regensburg, Deutschland.
Unfallchirurg. 2011 Feb;114(2):172-81. doi: 10.1007/s00113-010-1941-2.
In industry, especially in the automobile industry, improvements in efficiency could be demonstrated by quality management and quality circles. There is no doubt that in medicine, major trauma is also a very complex challenge.The German Association for Trauma Surgery published the White Paper on the Management of the Seriously Injured in 2006. The White Paper specifies the demand for quality of care, sets the level of structural requirements for trauma care and postulates the cooperation of regional hospitals within a network of dedicated trauma centres. The Trauma Network Eastern Bavaria (TNO) was the first certified trauma network in Germany. One of the reasons for this success is the fact that cooperation between trauma surgeons has already had a long tradition in this geographic area. The key factor is communication which is supported by all technical and organisational means. The formal installation of quality circles on each level of trauma care, e.g. within and across institutions, was accepted by all partners within the network. The goal is the improvement of patient care in trauma above and beyond the guidelines of the White Paper. This paper shows the instruments used to enhance the quality of trauma care within a network.
在工业领域，尤其是汽车行业，质量管理和质量圈能够体现效率的提升。毫无疑问，在医学领域，重大创伤也是一项极为复杂的挑战。德国创伤外科学会于2006年发布了《重伤患者管理白皮书》。该白皮书明确了护理质量的要求，设定了创伤护理的结构要求水平，并假定区域医院应在专门的创伤中心网络内进行合作。巴伐利亚东部创伤网络（TNO）是德国首个获得认证的创伤网络。取得这一成功的原因之一是，在该地理区域，创伤外科医生之间的合作由来已久。关键因素是沟通，所有技术和组织手段都为其提供支持。在创伤护理的各个层面，如机构内部和机构之间，正式设立质量圈得到了网络内所有合作伙伴的认可。目标是在《白皮书》指南之外，进一步改善创伤患者的护理。本文展示了在网络内提高创伤护理质量所使用的工具。
