Transition from in-hospital ventilation to home ventilation: process description and quality indicators

The current demographic development of our society results in an increasing number of elderly patients with chronic diseases being treated in the intensive care unit. A possible long-term consequence of such a treatment is that patients remain dependent on certain invasive organ support systems, suc...

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Main Authors: Kastrup, Marc, Tittmann, Benjamin, Sawatzki, Tanja, Gersch, Martin, Vogt, Charlotte, Rosenthal, Max, Rosseau, Simone, Spies, Claudia
Format: Article
Language:deu
Published: German Medical Science GMS Publishing House 2017-12-01
Series:GMS German Medical Science
Subjects:
Online Access:http://www.egms.de/static/en/journals/gms/2017-15/000259.shtml
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author Kastrup, Marc
Tittmann, Benjamin
Sawatzki, Tanja
Gersch, Martin
Vogt, Charlotte
Rosenthal, Max
Rosseau, Simone
Spies, Claudia
author_facet Kastrup, Marc
Tittmann, Benjamin
Sawatzki, Tanja
Gersch, Martin
Vogt, Charlotte
Rosenthal, Max
Rosseau, Simone
Spies, Claudia
author_sort Kastrup, Marc
collection DOAJ
description The current demographic development of our society results in an increasing number of elderly patients with chronic diseases being treated in the intensive care unit. A possible long-term consequence of such a treatment is that patients remain dependent on certain invasive organ support systems, such as long-term ventilator dependency. The main goal of this project is to define the transition process between in-hospital and out of hospital (ambulatory) ventilator support. A further goal is to identify evidence-based quality indicators to help define and describe this process.This project describes an ideal sequence of processes (process chain), based on the current evidence from the literature. Besides the process chain, key data and quality indicators were described in detail. Due to the limited project timeline, these indicators were not extensively tested in the clinical environment.The results of this project may serve as a solid basis for proof of feasibility and proof of concept investigations, optimize the transition process of ventilator-dependent patients from a clinical to an ambulatory setting, as well as reduce the rate of emergency re-admissions.
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spelling doaj.art-49872a679cd1422fa91513d09a7dab6d2022-12-21T18:51:28ZdeuGerman Medical Science GMS Publishing HouseGMS German Medical Science1612-31742017-12-0115Doc1810.3205/000259Transition from in-hospital ventilation to home ventilation: process description and quality indicatorsKastrup, Marc0Tittmann, Benjamin1Sawatzki, Tanja2Gersch, Martin3Vogt, Charlotte4Rosenthal, Max5Rosseau, Simone6Spies, Claudia7Department of Anesthesiology and Operative Intensive Care Medicine, CCM/CVK, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyDepartment for Hematology, Oncology and Palliative Care – Sarcoma Centre Berlin-Brandenburg, Bad Saarow, GermanyDepartment of Anesthesiology and Operative Intensive Care Medicine, CCM/CVK, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyFreie Universität Berlin, School of Business & Economics, Department of Information Systems, Chair of Business Administration, Berlin, GermanyFreie Universität Berlin, School of Business & Economics, Department of Information Systems, Chair of Business Administration, Berlin, GermanyDepartment of Anesthesiology and Operative Intensive Care Medicine, CCM/CVK, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyKlinik Ernst von Bergmann Bad Belzig gGmbH, Bad Belzig, GermanyDepartment of Anesthesiology and Operative Intensive Care Medicine, CCM/CVK, Charité – Universitätsmedizin Berlin, corporate member of Freie Universität Berlin, Humboldt-Universität zu Berlin, and Berlin Institute of Health, Berlin, GermanyThe current demographic development of our society results in an increasing number of elderly patients with chronic diseases being treated in the intensive care unit. A possible long-term consequence of such a treatment is that patients remain dependent on certain invasive organ support systems, such as long-term ventilator dependency. The main goal of this project is to define the transition process between in-hospital and out of hospital (ambulatory) ventilator support. A further goal is to identify evidence-based quality indicators to help define and describe this process.This project describes an ideal sequence of processes (process chain), based on the current evidence from the literature. Besides the process chain, key data and quality indicators were described in detail. Due to the limited project timeline, these indicators were not extensively tested in the clinical environment.The results of this project may serve as a solid basis for proof of feasibility and proof of concept investigations, optimize the transition process of ventilator-dependent patients from a clinical to an ambulatory setting, as well as reduce the rate of emergency re-admissions.http://www.egms.de/static/en/journals/gms/2017-15/000259.shtmlquality indicatorin-hospitalout-hospitalintensive care medicinelong-term ventilationweaningprocess managementmultiprofessional
spellingShingle Kastrup, Marc
Tittmann, Benjamin
Sawatzki, Tanja
Gersch, Martin
Vogt, Charlotte
Rosenthal, Max
Rosseau, Simone
Spies, Claudia
Transition from in-hospital ventilation to home ventilation: process description and quality indicators
GMS German Medical Science
quality indicator
in-hospital
out-hospital
intensive care medicine
long-term ventilation
weaning
process management
multiprofessional
title Transition from in-hospital ventilation to home ventilation: process description and quality indicators
title_full Transition from in-hospital ventilation to home ventilation: process description and quality indicators
title_fullStr Transition from in-hospital ventilation to home ventilation: process description and quality indicators
title_full_unstemmed Transition from in-hospital ventilation to home ventilation: process description and quality indicators
title_short Transition from in-hospital ventilation to home ventilation: process description and quality indicators
title_sort transition from in hospital ventilation to home ventilation process description and quality indicators
topic quality indicator
in-hospital
out-hospital
intensive care medicine
long-term ventilation
weaning
process management
multiprofessional
url http://www.egms.de/static/en/journals/gms/2017-15/000259.shtml
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