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Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2003-12

AUTHORS

M. Schnabel, C. Kill, M. El-Sheik, A. Sauvageot, K. J. Klose, I. Kopp

ABSTRACT

INTRODUCTION: The treatment of polytraumatized patients in the acute period is an exemplary model of multidisciplinary cooperation in a very critical timeframe. Implementing standards formulated in the clinical guidelines of the German Association of Traumatology requires a detailed description of "how to do it." METHODS: Based on the guidelines and validated quality indictors, the optimal standard of care as the goal was defined. A clinical algorithm was developed and personal responsibilities and time limits were clearly assigned to each decision step and action. Checklists, documentation charts, and a full text supplement the algorithm. The complete pathway was adopted by representatives of all occupational groups involved in early trauma care in a consensus process. RESULTS: Improvement potentials were identified in those areas for which the guidelines did not provide explicit recommendations. These represent the key elements of the algorithm. Pathway-specific review criteria (quality indicators) were defined for scheduled reevaluation. CONCLUSIONS: Implementing clinical guidelines at the local level requires a problem-oriented and management-oriented elaboration towards a clinical pathway as the basis for a quantitative process and cost analysis. More... »

PAGES

1156-1166

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s00104-003-0755-y

DOI

http://dx.doi.org/10.1007/s00104-003-0755-y

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1050831239

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/14673539


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