Groß Martin, Pohl Marcus, Platz Thomas, Schmidt-Wilcke Tobias
Zertifizierungsausschuss der Deutschen Gesellschaft für Neurorehabilitation e. V., Rheinbach, Deutschland.
Oldenburger Forschungsnetzwerk Notfall- und Intensivmedizin, Carl von Ossietzky Universität Oldenburg, Oldenburg, Deutschland.
Nervenarzt. 2022 Aug;93(8):828-834. doi: 10.1007/s00115-021-01207-9. Epub 2021 Oct 14.
Specialized centers for weaning in neurological and neurosurgical early rehabilitation can be certified by the German Society for Neurorehabilitation (DGNR) since 1 October 2021. The certification criteria are indicators for structure and process quality and for treatment results for weaning of neurological patients from mechanical ventilation. In Germany these patients are treated in departments for neurological and neurosurgical early rehabilitation in acute care hospitals as well as in specialized rehabilitation hospitals. Acknowledging this diversity of care, certification is possible for both kinds of institutions. Certification is granted by the DGNR in cooperation with TÜV Rheinland as the certification authority, analogous to the certification of stroke units. Institutions apply for certification by sending all necessary documents to the TÜV Rheinland. Afterwards auditors of the TÜV Rheinland (lead auditor) and the DGNR (medical speciality auditor) visit the institution on site. The results of this visit are reported to the certification committee of the DGNR, which in turn recommends or declines certification. The certification of centers for weaning in neurological and neurosurgical early rehabilitation is an important step towards defining neurorespiratory care and the role of the neurologist for intensive care and weaning in Germany. Thereby, the interdisciplinary dialogue between pneumologists, anesthesiologists, and neurologists is fostered. Also, the dialogue on treatment capacities and strategies with healthcare politicians, health insurances, and patient associations is facilitated.
自2021年10月1日起，德国神经康复协会（DGNR）可对神经科和神经外科早期康复中的撤机专业中心进行认证。认证标准是神经科患者机械通气撤机的结构质量、过程质量和治疗结果的指标。在德国，这些患者在急症医院的神经科和神经外科早期康复科室以及专业康复医院接受治疗。考虑到这种护理的多样性，两类机构都可以进行认证。认证由DGNR与作为认证机构的德国莱茵兰技术监督协会（TÜV Rheinland）合作授予，类似于中风单元的认证。机构通过向德国莱茵兰技术监督协会发送所有必要文件来申请认证。之后，德国莱茵兰技术监督协会的审核员（首席审核员）和DGNR的审核员（医学专业审核员）会实地考察该机构。考察结果会报告给DGNR的认证委员会，该委员会进而推荐或拒绝认证。神经科和神经外科早期康复中撤机中心的认证是德国界定神经呼吸护理以及神经科医生在重症监护和撤机方面作用的重要一步。由此促进了肺病学家、麻醉学家和神经科医生之间的跨学科对话。此外，还推动了与医疗保健政策制定者、健康保险公司和患者协会就治疗能力和策略进行对话。
