Anästhesiologie, Intensivmedizin, Notfallmedizin, Schmerztherapie : AINS
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Subsyndromal delirium - Experiences from the psychiatry - expectations for postoperative management].
The phenomenon of delirium is well known since over 100 years. The anesthesiology has recognized that early detection and therapy results in significant improvement of postoperative clinical state of health of the patients. In the following article it will be discussed that it could be profitable to make a further step: threatening the subsyndromal delirium. Because there are only few experiences in anesthesiology, this thesis will be substantiated by datas from psychiatry.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Patient safety - mission for the future - The importance of CriticalIncidentReportingSystems (CIRS)in clinical practice].
Every day patients experience harm due to errors and complications. To improve this situation, patient safety is increasingly becoming important in the treatment process. ⋯ Observers and members of the care team are given the opportunity to anonymously report critical incidents and thus allow an analysis by an evaluation team. The goal is not to sanction the behavior of an individual, but to identify particular structural and organizational sources of error and to derive improvements.
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Anasthesiol Intensivmed Notfallmed Schmerzther · Jul 2014
Review[Patient safety - mission for the future - Managing with Complications: What do I Tell the Patients and What the Relatives?].
In cases of unintended treatment courses an adequate communication is mandatory. Empathetic conversations expressing human warmth can pave the way to the avoidance of forensic consequences. ⋯ The patient has a right to view his or her complete patient records and to demand that copy be made at the patient's expense. In the case of information to relatives the physician must observe the content and scope of his/her obligation to medical confidentiality.