Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Blunt thoracic trauma--therapeutic relevance of results of roentgen image, ultrasound and computerized tomography].
In 60 patients with severe thoracic trauma the diagnostic procedures--X-ray of the chest, sonography and thoracic computed tomography (CT)--were reviewed for their incidence of finding all injuries. X-ray of the chest often failed to detect lung contusion and injuries in the mediastinal space. Four of five ruptures of the diaphragm were incidental findings on the occasion of laparotomy because of intraabdominal bleeding.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Education, postgraduate and continuing education in surgery--data for quality control].
Despite intensive educational training during medical school, there is hardly any occupational group like physicians that tries to keep further education on a very high level. However, under the aspect of quality control, there is a need for different certificates. ⋯ The analysis of the committee of education of the Ruhr University Bochum must be considered as ideal; the results have to be transferred. Objective medical care results and patient satisfaction are influenced by many factors.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Unnecessary admission from the surgical social medicine viewpoint].
Wrongfully inpatient admission means unnecessary treatment of patients with the means of a hospital. In a study of the Medical Service (MDK) in the German state of Hessen 58% of 954 inpatients were considered wrongfully admitted. 199 patients were treated surgically, the wrongful admission rate of 63% is caused by an unnecessary duration of pre- and postoperative treatment time as well as by organizational deficits.
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Langenbecks Arch Chir Suppl Kongressbd · Jan 1997
[Wound infections after heart surgery interventions--a cost analysis].
Decreasing financial resources in the health care system require effective cost management. For this reason and due to special modalities of reimbursement regulations for open heart procedures, we analyzed the extent of additional costs caused by subsequent deep wound infections requiring surgical revision. The real costs of 12 consecutive cases of sternal infections out of a total of 1,124 open heart procedures in 1996 were assessed and differentiated.