Massoth Christina, Meersch Melanie
Klinik für Anästhesiologie, operative Intensivmedizin und Schmerztherapie, Universitätsklinikum Münster, Albert-Schweitzer-Campus 1, A1, 48149, Münster, Deutschland.
Anaesthesist. 2021 May;70(5):439-448. doi: 10.1007/s00101-021-00949-0. Epub 2021 Apr 7.
Restrictions of duty hours in medicine are an ambivalent matter with respect to patient safety. Continuity of treatment carries the risk of medical errors from declining performance capability and must be balanced against the risk of communication failure and information loss due to personnel changes. Complete intraoperative changes of anesthetists are frequently carried out in the clinical routine but possibly have the potential to negatively influence the postoperative morbidity and mortality. The relevance of anesthesiological care for the perioperative outcome also seems to vary depending on the specialist discipline involved. While standardized handover protocols seem to be only of limited effectiveness for the improvement of transfer of information, they are nevertheless a reasonable approach for optimization of interprofessional communication and reduction of treatment errors.
医学领域的值班时间限制在患者安全方面是一个矛盾的问题。治疗的连续性存在因工作能力下降而导致医疗差错的风险，必须在这种风险与因人员变动导致沟通失败和信息丢失的风险之间进行权衡。在临床常规中，麻醉医生在手术过程中完全更换的情况经常发生，但这可能会对术后发病率和死亡率产生负面影响。麻醉护理对围手术期结果的相关性似乎也因所涉及的专科领域而异。虽然标准化的交接班协议在改善信息传递方面的效果似乎有限，但它们仍然是优化跨专业沟通和减少治疗错误的合理方法。
