Skip to main content
Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2/2013

01.02.2013 | Editorials

An overview of quality and safety in health care

verfasst von: Alan F. Merry, MBChB

Erschienen in: Canadian Journal of Anesthesia/Journal canadien d'anesthésie | Ausgabe 2/2013

Einloggen, um Zugang zu erhalten

Excerpt

Patient safety is of prime importance to anesthesiologists; there are, however, other dimensions to quality in health care that also merit our attention. Anesthesia is not a treatment in itself but is integral to achieving successful outcomes for surgical patients; therefore, it is equally as important as any other aspect of patient care. Furthermore, anesthesia often equals or exceeds surgery with respect to the challenges involved, the resources required, and the risk to patients. These factors are reflected in the high standards of training, practice, and research that are characteristic of modern anesthesia in many (but not all) parts of the world. These standards are hard won, and maintaining and advancing them will continue to require considerable effort and investment in the face of increasing international financial restraint. It therefore behooves anesthesiologists to understand how the services they provide contribute to the overall quality of health care. …
Literatur
1.
Zurück zum Zitat Runciman B, Merry A, Walton M. Safety and Ethics in Healthcare: A Guide to Getting it Right. Aldershot: Ashgate Publishing Ltd.; 2007. Runciman B, Merry A, Walton M. Safety and Ethics in Healthcare: A Guide to Getting it Right. Aldershot: Ashgate Publishing Ltd.; 2007.
2.
Zurück zum Zitat Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. Washington DC: National Academy Press; 1999. Kohn LT, Corrigan JM, Donaldson MS. To Err is Human: Building a Safer Health System. Washington DC: National Academy Press; 1999.
3.
Zurück zum Zitat Cooper JB, Gaba D. No myth: anesthesia is a model for addressing patient safety. Anesthesiology 2002; 97: 1335-7.PubMedCrossRef Cooper JB, Gaba D. No myth: anesthesia is a model for addressing patient safety. Anesthesiology 2002; 97: 1335-7.PubMedCrossRef
4.
Zurück zum Zitat Cooper J. Patient Safety and Biomedical Engineering. In: Kitz R (Ed.). This is No Humbug: Reminiscences of the Department of Anesthesia at the Massachusetts General Hospital. Boston: Department of Anesthesia and Critical Care, Massachusetts General Hospital, USA; 2002: 377-420. Cooper J. Patient Safety and Biomedical Engineering. In: Kitz R (Ed.). This is No Humbug: Reminiscences of the Department of Anesthesia at the Massachusetts General Hospital. Boston: Department of Anesthesia and Critical Care, Massachusetts General Hospital, USA; 2002: 377-420.
5.
Zurück zum Zitat Runciman WB. The Australian Patient Safety Foundation. Anaesth Intensive Care 1988; 16: 114-6.PubMed Runciman WB. The Australian Patient Safety Foundation. Anaesth Intensive Care 1988; 16: 114-6.PubMed
6.
Zurück zum Zitat Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology 1987; 66: 670-6.PubMedCrossRef Gaba DM, Maxwell M, DeAnda A. Anesthetic mishaps: breaking the chain of accident evolution. Anesthesiology 1987; 66: 670-6.PubMedCrossRef
7.
Zurück zum Zitat Cooper JB, Long CD, Newbower RS, Philip JH. Critical incidents associated with intraoperative exchanges of anesthesia personnel. Anesthesiology 1982; 56: 456-61.PubMedCrossRef Cooper JB, Long CD, Newbower RS, Philip JH. Critical incidents associated with intraoperative exchanges of anesthesia personnel. Anesthesiology 1982; 56: 456-61.PubMedCrossRef
8.
Zurück zum Zitat Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care 1993; 21: 506-19.PubMed Runciman WB, Sellen A, Webb RK, et al. The Australian Incident Monitoring Study. Errors, incidents and accidents in anaesthetic practice. Anaesth Intensive Care 1993; 21: 506-19.PubMed
9.
10.
Zurück zum Zitat Gaba DM, DeAnda A. A comprehensive anesthesia simulation environment: re-creating the operating room for research and training. Anesthesiology 1988; 69: 387-94.PubMedCrossRef Gaba DM, DeAnda A. A comprehensive anesthesia simulation environment: re-creating the operating room for research and training. Anesthesiology 1988; 69: 387-94.PubMedCrossRef
11.
Zurück zum Zitat Schwid HA. A flight simulator for general anesthesia training. Comput Biomed Res 1987; 20: 64-75.PubMedCrossRef Schwid HA. A flight simulator for general anesthesia training. Comput Biomed Res 1987; 20: 64-75.PubMedCrossRef
12.
Zurück zum Zitat Good ML, Gravenstein JS. Anesthesia simulators and training devices. Int Anesthesiol Clin 1989; 27: 161-8.PubMedCrossRef Good ML, Gravenstein JS. Anesthesia simulators and training devices. Int Anesthesiol Clin 1989; 27: 161-8.PubMedCrossRef
13.
Zurück zum Zitat Gibbs NM. Milestones in anaesthesia-related mortality and morbidity reporting in Australia. Anaesth Intensive Care 2010; 38: 807-8.PubMed Gibbs NM. Milestones in anaesthesia-related mortality and morbidity reporting in Australia. Anaesth Intensive Care 2010; 38: 807-8.PubMed
14.
Zurück zum Zitat Walker IA, Wilson IH. Anaesthesia in developing countries – a risk for patients. Lancet 2008; 371: 968-9.PubMedCrossRef Walker IA, Wilson IH. Anaesthesia in developing countries – a risk for patients. Lancet 2008; 371: 968-9.PubMedCrossRef
15.
Zurück zum Zitat Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology 2002; 97: 1609-17.PubMedCrossRef Lagasse RS. Anesthesia safety: model or myth? A review of the published literature and analysis of current original data. Anesthesiology 2002; 97: 1609-17.PubMedCrossRef
16.
Zurück zum Zitat Eichhorn JH. APSF hosts medication safety conference: consensus group defines challenges and opportunities for improved practice. APSF Newsletter (Spring) 2010; 25: 1-7. Eichhorn JH. APSF hosts medication safety conference: consensus group defines challenges and opportunities for improved practice. APSF Newsletter (Spring) 2010; 25: 1-7.
17.
Zurück zum Zitat Greenland KB, Acott C, Segal R, Goulding G, Riley RH, Merry AF. Emergency surgical airway in life-threatening acute airway emergencies – why are we so reluctant to do it? Anaesth Intensive Care 2011; 39: 578-84.PubMed Greenland KB, Acott C, Segal R, Goulding G, Riley RH, Merry AF. Emergency surgical airway in life-threatening acute airway emergencies – why are we so reluctant to do it? Anaesth Intensive Care 2011; 39: 578-84.PubMed
18.
Zurück zum Zitat Story DA, Leslie K, Myles PS, et al. Complications and mortality in older surgical patients in Australia and New Zealand (the REASON study): a multicentre, prospective, observational study. Anaesthesia 2010; 65: 1022-30.PubMedCrossRef Story DA, Leslie K, Myles PS, et al. Complications and mortality in older surgical patients in Australia and New Zealand (the REASON study): a multicentre, prospective, observational study. Anaesthesia 2010; 65: 1022-30.PubMedCrossRef
19.
Zurück zum Zitat Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study Investigators; Devereaux PJ, Chan MT, Alonso-Coello P, et al. Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery. JAMA 2012; 307: 2295-304. Vascular Events in Noncardiac Surgery Patients Cohort Evaluation Study Investigators; Devereaux PJ, Chan MT, Alonso-Coello P, et al. Association between postoperative troponin levels and 30-day mortality among patients undergoing noncardiac surgery. JAMA 2012; 307: 2295-304.
20.
Zurück zum Zitat Mangano DT, Browner WS, Hollenberg M, London MJ, Tubau JF, Tateo IM. Association of perioperative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. The Study of Perioperative Ischemia Research Group. N Engl J Med 1990; 323: 1781-8.PubMedCrossRef Mangano DT, Browner WS, Hollenberg M, London MJ, Tubau JF, Tateo IM. Association of perioperative myocardial ischemia with cardiac morbidity and mortality in men undergoing noncardiac surgery. The Study of Perioperative Ischemia Research Group. N Engl J Med 1990; 323: 1781-8.PubMedCrossRef
21.
Zurück zum Zitat Health Quality and Safety Commission New Zealand. Perioperative Mortality Review Committee (POMRC). Perioperative Mortality in New Zealand: Inaugural report of the Perioperative Mortality Review Committee. Wellington, New Zealand. Health Quality & Safety Commission. 2011. Available from URL: http://www.pomrc.health.govt.nz (accessed August 2012). Health Quality and Safety Commission New Zealand. Perioperative Mortality Review Committee (POMRC). Perioperative Mortality in New Zealand: Inaugural report of the Perioperative Mortality Review Committee. Wellington, New Zealand. Health Quality & Safety Commission. 2011. Available from URL: http://​www.​pomrc.​health.​govt.​nz (accessed August 2012).
22.
Zurück zum Zitat Weiser TG, Makary MA, Haynes AB, et al. Standardised metrics for global surgical surveillance. Lancet 2009; 374: 1113-7.PubMedCrossRef Weiser TG, Makary MA, Haynes AB, et al. Standardised metrics for global surgical surveillance. Lancet 2009; 374: 1113-7.PubMedCrossRef
23.
Zurück zum Zitat Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360: 491-9.PubMedCrossRef Haynes AB, Weiser TG, Berry WR, et al. A surgical safety checklist to reduce morbidity and mortality in a global population. N Engl J Med 2009; 360: 491-9.PubMedCrossRef
24.
Zurück zum Zitat Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 2011; 20: 102-7.PubMedCrossRef Haynes AB, Weiser TG, Berry WR, et al. Changes in safety attitude and relationship to decreased postoperative morbidity and mortality following implementation of a checklist-based surgical safety intervention. BMJ Qual Saf 2011; 20: 102-7.PubMedCrossRef
25.
Zurück zum Zitat Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA 2010; 304: 1693-700.PubMedCrossRef Neily J, Mills PD, Young-Xu Y, et al. Association between implementation of a medical team training program and surgical mortality. JAMA 2010; 304: 1693-700.PubMedCrossRef
26.
Zurück zum Zitat de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010; 363: 1928-37.PubMedCrossRef de Vries EN, Prins HA, Crolla RM, et al. Effect of a comprehensive surgical safety system on patient outcomes. N Engl J Med 2010; 363: 1928-37.PubMedCrossRef
27.
Zurück zum Zitat Birkmeyer JD. Strategies for improving surgical quality–checklists and beyond. N Engl J Med 2010; 363: 1963-5.PubMedCrossRef Birkmeyer JD. Strategies for improving surgical quality–checklists and beyond. N Engl J Med 2010; 363: 1963-5.PubMedCrossRef
29.
Zurück zum Zitat Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood) 2008; 27: 759-69.CrossRef Berwick DM, Nolan TW, Whittington J. The triple aim: care, health, and cost. Health Aff (Millwood) 2008; 27: 759-69.CrossRef
32.
Zurück zum Zitat Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001. Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academy Press; 2001.
33.
Zurück zum Zitat Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004; 363: 1757-63.PubMedCrossRef Myles PS, Leslie K, McNeil J, Forbes A, Chan MT. Bispectral index monitoring to prevent awareness during anaesthesia: the B-Aware randomised controlled trial. Lancet 2004; 363: 1757-63.PubMedCrossRef
34.
Zurück zum Zitat Group PoiseStudy, Devereaux PJ, Yang H, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet 2008; 371: 1839-47.CrossRef Group PoiseStudy, Devereaux PJ, Yang H, et al. Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomised controlled trial. Lancet 2008; 371: 1839-47.CrossRef
35.
Zurück zum Zitat Myles PS, Leslie K, Chan MT, et al. Avoidance of Nitrous Oxide for Patients Undergoing Major Surgery: A Randomized Controlled Trial. Anesthesiology 2007; 107: 221-31.PubMedCrossRef Myles PS, Leslie K, Chan MT, et al. Avoidance of Nitrous Oxide for Patients Undergoing Major Surgery: A Randomized Controlled Trial. Anesthesiology 2007; 107: 221-31.PubMedCrossRef
36.
Zurück zum Zitat Finfer S, Bellomo R, Boyce N, et al. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med 2004; 350: 2247-56.PubMedCrossRef Finfer S, Bellomo R, Boyce N, et al. A comparison of albumin and saline for fluid resuscitation in the intensive care unit. N Engl J Med 2004; 350: 2247-56.PubMedCrossRef
38.
Zurück zum Zitat Story DA, Myles PS. Large multicentre trials in anaesthesia: the ANZCA clinical trials group. Anaesth Intensive Care 2005; 33: 301-2.PubMed Story DA, Myles PS. Large multicentre trials in anaesthesia: the ANZCA clinical trials group. Anaesth Intensive Care 2005; 33: 301-2.PubMed
39.
Zurück zum Zitat Bellomo R. The ANZICS clinical trials group. Crit Care Resusc 2000; 2: 9-10.PubMed Bellomo R. The ANZICS clinical trials group. Crit Care Resusc 2000; 2: 9-10.PubMed
40.
Zurück zum Zitat Pickett K, Wilkinson R. The Spirit Level: Why Greater Equality Makes Societies Stronger. New York: Bloomsbury Press; 2009. Pickett K, Wilkinson R. The Spirit Level: Why Greater Equality Makes Societies Stronger. New York: Bloomsbury Press; 2009.
41.
Zurück zum Zitat Cunningham SA, Mitchell K, Narayan KM, Yusuf S. Doctors’ strikes and mortality: a review. Soc Sci Med 2008; 67: 1784-8.PubMedCrossRef Cunningham SA, Mitchell K, Narayan KM, Yusuf S. Doctors’ strikes and mortality: a review. Soc Sci Med 2008; 67: 1784-8.PubMedCrossRef
42.
Zurück zum Zitat Barry MJ, Edgman-Levitan S. Shared decision making–pinnacle of patient-centered care. N Engl J Med 2012; 366: 780-1.PubMedCrossRef Barry MJ, Edgman-Levitan S. Shared decision making–pinnacle of patient-centered care. N Engl J Med 2012; 366: 780-1.PubMedCrossRef
43.
Zurück zum Zitat Wright JG, Santaguida PL, Young N, Hawker GA, Schemitsch E, Owen JL. Patient preferences before and after total knee arthroplasty. J Clin Epidemiol 2010; 63: 774-82.PubMedCrossRef Wright JG, Santaguida PL, Young N, Hawker GA, Schemitsch E, Owen JL. Patient preferences before and after total knee arthroplasty. J Clin Epidemiol 2010; 63: 774-82.PubMedCrossRef
44.
Zurück zum Zitat Cassell EJ. Consent or obedience? Power and authority in medicine. N Engl J Med 2005; 352: 328-30.PubMedCrossRef Cassell EJ. Consent or obedience? Power and authority in medicine. N Engl J Med 2005; 352: 328-30.PubMedCrossRef
45.
Zurück zum Zitat Bodenheimer T. Coordinating care - a perilous journey through the health care system. N Engl J Med 2008; 358: 1064-71.PubMedCrossRef Bodenheimer T. Coordinating care - a perilous journey through the health care system. N Engl J Med 2008; 358: 1064-71.PubMedCrossRef
46.
Zurück zum Zitat Birkmeyer JD, Sharp SM, Finlayson SR, Fisher ES, Wennberg JE. Variation profiles of common surgical procedures. Surgery 1998; 124: 917-23.PubMedCrossRef Birkmeyer JD, Sharp SM, Finlayson SR, Fisher ES, Wennberg JE. Variation profiles of common surgical procedures. Surgery 1998; 124: 917-23.PubMedCrossRef
47.
Zurück zum Zitat McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348: 2635-45.PubMedCrossRef McGlynn EA, Asch SM, Adams J, et al. The quality of health care delivered to adults in the United States. N Engl J Med 2003; 348: 2635-45.PubMedCrossRef
48.
Zurück zum Zitat Toronto Arthroplasty Research Group Writing Committee; Wright JG, Hawker GA, Hudak PL, et al. Variability in physician opinions about the indications for knee arthroplasty. J Arthroplasty 2011; 26: 569-75.e1. Toronto Arthroplasty Research Group Writing Committee; Wright JG, Hawker GA, Hudak PL, et al. Variability in physician opinions about the indications for knee arthroplasty. J Arthroplasty 2011; 26: 569-75.e1.
49.
Zurück zum Zitat Hawker GA, Wright JG, Coyte PC, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients’ preferences. Med Care 2001; 39: 206-16.PubMedCrossRef Hawker GA, Wright JG, Coyte PC, et al. Determining the need for hip and knee arthroplasty: the role of clinical severity and patients’ preferences. Med Care 2001; 39: 206-16.PubMedCrossRef
50.
Zurück zum Zitat Borkhoff CM, Hawker GA, Kreder HJ, Glazier RH, Mahomed NN, Wright JG. Patients’ gender affected physicians’ clinical decisions when presented with standardized patients but not for matching paper patients. J Clin Epidemiol 2009; 62: 527-41.PubMedCrossRef Borkhoff CM, Hawker GA, Kreder HJ, Glazier RH, Mahomed NN, Wright JG. Patients’ gender affected physicians’ clinical decisions when presented with standardized patients but not for matching paper patients. J Clin Epidemiol 2009; 62: 527-41.PubMedCrossRef
51.
Zurück zum Zitat Kwok AC, Semel ME, Lipsitz SR, et al. The intensity and variation of surgical care at the end of life: a retrospective cohort study. Lancet 2011; 378: 1408-13.PubMedCrossRef Kwok AC, Semel ME, Lipsitz SR, et al. The intensity and variation of surgical care at the end of life: a retrospective cohort study. Lancet 2011; 378: 1408-13.PubMedCrossRef
52.
Zurück zum Zitat Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008; 372: 139-44.PubMedCrossRef Weiser TG, Regenbogen SE, Thompson KD, et al. An estimation of the global volume of surgery: a modelling strategy based on available data. Lancet 2008; 372: 139-44.PubMedCrossRef
53.
Zurück zum Zitat Merry AF, Cooper JB, Soyannwo O, Wilson IH, Eichhorn JH. International Standards for a Safe Practice of Anesthesia 2010. Can J Anesth 2010; 57: 1027-34.PubMedCrossRef Merry AF, Cooper JB, Soyannwo O, Wilson IH, Eichhorn JH. International Standards for a Safe Practice of Anesthesia 2010. Can J Anesth 2010; 57: 1027-34.PubMedCrossRef
54.
Zurück zum Zitat Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia 2009; 64: 1051-60.PubMedCrossRef Walker IA, Merry AF, Wilson IH, et al. Global oximetry: an international anaesthesia quality improvement project. Anaesthesia 2009; 64: 1051-60.PubMedCrossRef
55.
Zurück zum Zitat Leape LL, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002; 288: 501-7.PubMedCrossRef Leape LL, Berwick DM, Bates DW. What practices will most improve safety? Evidence-based medicine meets patient safety. JAMA 2002; 288: 501-7.PubMedCrossRef
56.
Zurück zum Zitat Tenner E. Why Things Bite Back - Technology and the Revenge of Unintended Consequences. New York: Vintage Books; 1997. Tenner E. Why Things Bite Back - Technology and the Revenge of Unintended Consequences. New York: Vintage Books; 1997.
57.
Zurück zum Zitat Donabedian A. An Introduction to Quality Assurance in Health Care. New York: Oxford University Press; 2003. Donabedian A. An Introduction to Quality Assurance in Health Care. New York: Oxford University Press; 2003.
58.
Zurück zum Zitat Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD. The 100,000 lives campaign: setting a goal and a deadline for improving health care quality. JAMA 2006; 295: 324-7.PubMedCrossRef Berwick DM, Calkins DR, McCannon CJ, Hackbarth AD. The 100,000 lives campaign: setting a goal and a deadline for improving health care quality. JAMA 2006; 295: 324-7.PubMedCrossRef
59.
Zurück zum Zitat Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA 2001; 286: 415-20.PubMedCrossRef Hayward RA, Hofer TP. Estimating hospital deaths due to medical errors: preventability is in the eye of the reviewer. JAMA 2001; 286: 415-20.PubMedCrossRef
60.
Zurück zum Zitat Wachter RM, Pronovost PJ. The 100,000 Lives Campaign: a scientific and policy review. Jt Comm J Qual Patient Saf 2006; 32: 621-7.PubMed Wachter RM, Pronovost PJ. The 100,000 Lives Campaign: a scientific and policy review. Jt Comm J Qual Patient Saf 2006; 32: 621-7.PubMed
61.
Zurück zum Zitat Shekelle PG, Pronovost PJ, Wachter RM, et al. Advancing the science of patient safety. Ann Intern Med 2011; 154: 693-6.PubMed Shekelle PG, Pronovost PJ, Wachter RM, et al. Advancing the science of patient safety. Ann Intern Med 2011; 154: 693-6.PubMed
Metadaten
Titel
An overview of quality and safety in health care
verfasst von
Alan F. Merry, MBChB
Publikationsdatum
01.02.2013
Verlag
Springer-Verlag
Erschienen in
Canadian Journal of Anesthesia/Journal canadien d'anesthésie / Ausgabe 2/2013
Print ISSN: 0832-610X
Elektronische ISSN: 1496-8975
DOI
https://doi.org/10.1007/s12630-012-9850-1

Weitere Artikel der Ausgabe 2/2013

Canadian Journal of Anesthesia/Journal canadien d'anesthésie 2/2013 Zur Ausgabe

Bei schweren Reaktionen auf Insektenstiche empfiehlt sich eine spezifische Immuntherapie

Insektenstiche sind bei Erwachsenen die häufigsten Auslöser einer Anaphylaxie. Einen wirksamen Schutz vor schweren anaphylaktischen Reaktionen bietet die allergenspezifische Immuntherapie. Jedoch kommt sie noch viel zu selten zum Einsatz.

Hinter dieser Appendizitis steckte ein Erreger

23.04.2024 Appendizitis Nachrichten

Schmerzen im Unterbauch, aber sonst nicht viel, was auf eine Appendizitis hindeutete: Ein junger Mann hatte Glück, dass trotzdem eine Laparoskopie mit Appendektomie durchgeführt und der Wurmfortsatz histologisch untersucht wurde.

Ärztliche Empathie hilft gegen Rückenschmerzen

23.04.2024 Leitsymptom Rückenschmerzen Nachrichten

Personen mit chronischen Rückenschmerzen, die von einfühlsamen Ärzten und Ärztinnen betreut werden, berichten über weniger Beschwerden und eine bessere Lebensqualität.

Mehr Schaden als Nutzen durch präoperatives Aussetzen von GLP-1-Agonisten?

23.04.2024 Operationsvorbereitung Nachrichten

Derzeit wird empfohlen, eine Therapie mit GLP-1-Rezeptoragonisten präoperativ zu unterbrechen. Eine neue Studie nährt jedoch Zweifel an der Notwendigkeit der Maßnahme.

Update AINS

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.