Ekkernkamp A
Chirurgische Klinik und Poliklinik, Berufsgenossenschaftliche Kliniken Bergmannsheil Bochum.
Unfallchirurgie. 1996 Dec;22(6):273-7.
For trauma surgeons the compliance with and keeping to well organized and planned courses of action is obligatory. This is valid as well for the highly sensitive areas of preclinical emergency treatment, the primary treatment in the hospital and the exceptional management in polytrauma, as for treatment of solitary injuries of the musculo-skeletal system. Despite considerable activities--so far voluntarily--(optimization of courses of action, classification systems for injury grades, algorithms and close-meshed further education) control mechanisms are demanded by politicians and insurance companies. Therefore, comprehensive quality control is strived for in all different types of insurance coverage systems. In spite of justifiable restraints against control mechanisms, which oppose increasingly medical freedom in diagnostics and treatment, only cooperation with and proficient guidance of the often self-appointed quality assurance personnel is useful.
对于创伤外科医生来说，遵守并坚持组织有序、计划周密的行动方案是必须的。这不仅适用于临床前急救、医院内的初级治疗以及多发伤的特殊处理这些高度敏感领域，也适用于肌肉骨骼系统单一损伤的治疗。尽管目前（到目前为止是自愿地）已经开展了大量活动（行动方案的优化、损伤分级分类系统、算法以及密集的继续教育），但政治家和保险公司仍要求建立控制机制。因此，在所有不同类型的保险覆盖系统中都在努力进行全面的质量控制。尽管对控制机制存在合理的限制，这些限制日益反对诊断和治疗中的医疗自由，但只有与通常自行任命的质量保证人员合作并给予专业指导才是有益的。
