Diagnosis Related Group Als Neue W Hrung In Der Pr Klinischen Notfallversorgung Konzeption Chancen Risiken
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Diagnosis Related Group Als Neue W Hrung In Der Pr Klinischen Notfallversorgung Konzeption Chancen Risiken
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Author : Sebastian Herbinger
language : de
Publisher: Diplomica Verlag
Release Date : 2014-06
Diagnosis Related Group Als Neue W Hrung In Der Pr Klinischen Notfallversorgung Konzeption Chancen Risiken written by Sebastian Herbinger and has been published by Diplomica Verlag this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-06 with Medical categories.
Der bodengebundene Rettungsdienst unterliegt sowohl in Deutschland als auch global seit einigen Jahren einem Wandel von der reinen Transportaufgabe hin zur medizinischen Versorgung und Behandlung von Notfallpatienten direkt am Einsatzort. Galt es früher, den Patienten so schnell wie möglich in eine geeignete Zielklinik zu transportieren, rückt heute die medizinische Versorgung immer stärker in den Mittelpunkt und nimmt einen entscheidenden Anteil im Einsatzgeschehen ein. Mit der Einführung des Notfallsanitäters / der Notfallsanitäterin zu Beginn des Jahres 2014 haben die Entscheidungsträger konsequenterweise auf diesen Aufgabenwandel in der präklinischen Notfallversorgung reagiert. Bisher erhalten die Rettungsdienstorganisationen lediglich eine Vergütung für den Transport, jedoch nicht für die medizinische Versorgung, Behandlung und Betreuung von Notfallpatienten. Aus gesundheitspolitischer Betrachtung werden hierdurch falsche Anreize für die Rettungsdienstorganisationen gesetzt. Eine denkbare und potenzielle Abhilfe könnte die Einführung der sogenannten „Rettungsdienst Diagnosis Related Group“, kurz R-DRG sein.
Drg Als Neue W Hrung Im Rettungsdienst Konzeption Chancen Risiken
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Author : Sebastian Herbinger
language : de
Publisher:
Release Date : 2014-03-20
Drg Als Neue W Hrung Im Rettungsdienst Konzeption Chancen Risiken written by Sebastian Herbinger and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-03-20 with categories.
Masterarbeit aus dem Jahr 2013 im Fachbereich Gesundheitswissenschaften, Note: 2,0, Universitat Bayreuth, Sprache: Deutsch, Abstract: Der bodengebundene Rettungsdienst in Deutschland, aber auch weltweit unterliegt seit einigen Jahren einem Wandel von der reinen Transportaufgabe hin zur medizinischen Versorgung und Behandlung von Notfallpatienten am Einsatzort. Galt es fruher den Patienten so schnell wie moglich in eine geeignete Zielklinik zu transportieren, ruckt heute die medizinische Versorgung immer mehr in den Mittelpunkt und nimmt einen entscheidenden Anteil im Einsatzgeschehen ein. Mit der Einfuhrung des Notfallsanitaters / der Notfallsanitaterin zu Beginn des Jahres 2014 haben die Entscheidungstrager konsequenterweise auf diesen Aufgabenwandel in der praklinischen Notfallversorgung reagiert. Bisher erhalten die Rettungsdienstorganisationen lediglich eine Vergutung fur den Transport, jedoch nicht fur die medizinische Versorgung, Behandlung und Betreuung von Notfallpatienten. Aus gesundheitspolitischer Betrachtung werden hierdurch falsche Anreize fur die Rettungsdienstorganisationen gesetzt. Eine denkbare und potenzielle Abhilfe konnte die Einfuhrung der sogenannten Rettungsdienst Diagnosis Related Group, kurz R-DRG sein. Die bereits in der stationaren Versorgung etablierten German DRG bilden die ideale Grundlage fur die R-DRG. So wird auch bei den R-DRG der individuelle okonomische Aufwand am Patienten berucksichtigt. Ein grosser Vorteil dieser Finanzierungsform ist, dass sie die Grundkosten und somit die Wirtschaftlichkeit des Rettungsdienstes sicherstellt. Zusatzlich werden durch Belohnungs- bzw. Bestrafungssysteme neue Anreize fur alle Beteiligten geschaffen. So erhalten Rettungsdienstorganisationen eine Bonuszahlung, wenn sie bzw. als Ausbildungsbetrieb agieren oder die gesetzlich definierte Hilfsfrist einhalten. Trotz der starken landesrechtlichen Pragung des Rettungsdienstes konnte mit Hilfe der R-DRG eine bundesweite Finanzierung sichergestellt werde
Update In Intensive Care And Emergency Medicine
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Author : J. L. Vincent
language : en
Publisher: Springer Science & Business Media
Release Date : 2012-12-06
Update In Intensive Care And Emergency Medicine written by J. L. Vincent and has been published by Springer Science & Business Media this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-12-06 with Medical categories.
Mobbing
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Author : Noa Davenport
language : en
Publisher: Bonus Books
Release Date : 1999
Mobbing written by Noa Davenport and has been published by Bonus Books this book supported file pdf, txt, epub, kindle and other format this book has been release on 1999 with Family & Relationships categories.
Everyday capable, hardworking, committed employees suffer emotional abuse at their workplace. Some flee from jobs they love, forced out by mean-spirited co-workers, subordinates or superiors -- often with the tacit approval of higher management. The authors, Dr. Noa Davenport, Ruth Distler Schwartz, and Gail Pursell Elliott have written a book for every employee and manager in America. The book deals with what has become a household word in Europe: Mobbing. Mobbing is a "ganging up" by several individuals, to force someone out of the workplace through rumor, innuendo, intimidation, discrediting, and particularly, humiliation. Mobbing is a serious form of nonsexual, nonracial harassment. It has been legally described as status-blind harassment.
Financing Our Future
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Author : Stefan Brunnhuber
language : en
Publisher: Springer Nature
Release Date : 2021
Financing Our Future written by Stefan Brunnhuber and has been published by Springer Nature this book supported file pdf, txt, epub, kindle and other format this book has been release on 2021 with Development economics categories.
The monetary system is the indispensable missing link in the debate of sustainability, and whether the current financial system can handle these evolved needs. To date, the UN Sustainable Development Goals (SDGs) primarily have been financed either through the private sector, through conventional public sector taxes and fees, or through philanthropic commitment. Assuming a need of 4 to 5 trillion dollars annually in the 10 to 15 years left to finance our future, these conventional sources of finance are insufficient in terms of both the scale and speed of funding required to finance our future. Furthermore, the inherent instability of our financial system forces the world community to focus first and foremost on repairing and stabilizing the existing system. The development of cryptocurrencies using distributed ledger technologies (mainly blockchain) has prompted leading central banks to study the potential application of this approach to independently create purchasing power. In this vein, this book offers a new approach, namely introducing a parallel electronic currency specifically designed to finance global common goods and provide the resources necessary to achieve the SDGs. Furthermore, this mechanism would have a stabilizing effect on the existing monetary system. The book argues that one way this could be achieved is by giving central banks a modified monetary mandate to inject new liquidity into the system using a top-down approach. Alternatively, liquidity could come from corporate or communal initiatives with crypto- or communal currencies in a bottom-up approach. The author maintains that by issuing a blockchain-enabled parallel electronic currency earmarked for SDG-related projects and using other channels for monetary flow rather than the conventional ones, the future could be financed in a different manner. In the long run, abandoning our current monetary monoculture and introducing a monetary ecosystem would stabilize international financial markets, increase monetary regulatory efforts, reduce negative externalities, create a social Pareto optimum and stabilize democracies. This book presents, in the same spirit as Fritjof Capra's The Tao of Physics, a Tao of finance--an outside-of-the-box approach to financing global common goods.
Dry Chemistry
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Author : O. Sonntag
language : en
Publisher: Elsevier
Release Date : 1993-11-09
Dry Chemistry written by O. Sonntag and has been published by Elsevier this book supported file pdf, txt, epub, kindle and other format this book has been release on 1993-11-09 with Science categories.
Dry chemistry has been accepted as an important technology in medical laboratories for many years. Many evaluations of this technology have been undertaken by reputable clinical laboratories, the results of which were excellent when compared with conventional wet chemistry analysis. This book contains a detailed overview of the current knowledge in the field of dry chemistry both in the physicians' office laboratories and large medical laboratories. The results from many evaluation studies are presented, as is data from interference studies which complete the descriptions of many dry chemistry methods. A detailed description of various commercially available dry chemistry systems such as Ektachem, Reflotron, Seralyzer, Cobas Ready, Drichem, Opus and Stratus are also included. This book effectively describes the current state-of-the-art technology and knowledge and succeeds in filling the gap in information in this important field of clinical chemistry science. Originally published as 'Trockenchemie' by Georg Thieme Verlag, Stuttgart, Dr. Sonntag has taken the opportunity of this translation to completely revise and update the contents of his book.
Mortality In Anaesthesia
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Author : M.D. Vickers
language : en
Publisher: Springer
Release Date : 1983-09-01
Mortality In Anaesthesia written by M.D. Vickers and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 1983-09-01 with Medical categories.
113 This system of monitoring might be improved further if all cases in this category were investigated jointly by a forensic pathologist and an anaesthesiologist at the very outset of the investigation and during the actual autopsy. Free Papers The Influence of Pancuronium on Primary Conjugated Bile Acids A. Fassoulaki, T. Mihas, A. Mihas and P. Kaniaris Experimental studies have been reported in which a prolonged action of steroid neuro muscular blocking agents followed bile acids administration(1, 2). A prolonged neuro muscular action of pancuronium has also been detected in patients with biliary obstruc tion(3). In the present study serum bile acids and intracellular liver enzymes were estimated after anaesthesia in which pancuronium was used as a muscle relaxant (Fig. 1). An at tempt is made to investigate the effect of pancuronium on bile acid levels. Material and Methods Twelve female patients aged between 40 and 50 years were studied. All of them were visited in the ward the night before the operation by the anaesthesiologist where their clinical condition was assessed and their consent was obtained to participate in the pre sent study. None of them had a history of hepatic disease or was taking drugs. The oper ation performed in all cases was modified radical mastectomy and intracellular liver en zymes are routinely determined in these patients preoperatively. The twelve patients were reassured and stated that they did not want to have any tranquillizer for premedi cation.
Safer Surgery
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Author : Lucy Mitchell
language : en
Publisher: CRC Press
Release Date : 2017-05-15
Safer Surgery written by Lucy Mitchell and has been published by CRC Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017-05-15 with Technology & Engineering categories.
Operating theatres are very private workplaces. There have been few research investigations into how highly trained doctors and nurses work together to achieve safe and efficient anaesthesia and surgery. While there have been major advances in surgical and anaesthetic procedures, there are still significant risks for patients during operations and adverse events are not unknown. Due to rising concern about patient safety, surgeons and anaesthetists have looked for ways of minimising adverse events. Behavioural scientists have been encouraged by clinicians to bring research techniques used in other industries into the operating theatre in order to study the behaviour of surgeons, nurses and anaesthetists. Safer Surgery presents one of the first collections of studies designed to understand the factors influencing safe and efficient surgical, anaesthetic and nursing practice. The book is written by psychologists, surgeons and anaesthetists, whose contributions combine to offer readers the latest research techniques and findings from some of the leading investigators in this field. It is designed for practitioners and researchers interested in understanding the behaviour of operating theatre team members, with a view to enhancing both training and practice. The material is also suitable for those studying behaviour in other areas of healthcare or in high-risk work settings. The aims of the book are to: a) present the latest research on the behaviour of operating theatre teams b) describe the techniques being used by psychologists and clinicians to study surgeons, anaesthetists and theatre nurses' task performance c) outline the safety implications of the research to date.
Symbiosis And Autonomy
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Author : Franz Ruppert
language : en
Publisher:
Release Date : 2012-07
Symbiosis And Autonomy written by Franz Ruppert and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2012-07 with Attachment behavior in children categories.
This is the third book by Professor Franz Ruppert to be translated into English. In it he explores the relationship between our symbiotic interconnectedness and our ability to be autonomous in our lives. The relationship between these two aspects of being is absolutely influenced by early attachment trauma, what Ruppert has termed 'symbiotic trauma': the trauma of an infant attempting to connect with a mother who is herself already traumatised. Additionally Ruppert gives a detailed account of the 'Constellation of the Intention', the process he has devised for working with the psychological splits induced by trauma. This is a particular form of constellation that addresses issues of fragmentation. For those interested in trauma, and understanding how to work with it, this is truly groundbreaking work. Ruppert's thinking draws on many historical roots but is, even so, particularly unique. It takes us outside our normal ways of thinking about trauma, attachment and what it means to be a human being.
History Of Allergy
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Author : K.-C. Bergmann
language : en
Publisher: Karger Medical and Scientific Publishers
Release Date : 2014-05-27
History Of Allergy written by K.-C. Bergmann and has been published by Karger Medical and Scientific Publishers this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-05-27 with Medical categories.
The prevalence of allergic diseases has increased dramatically over recent decades, both in terms of the number of sufferers and the number of allergies. This is a trend that has frequently been referred to as 'the epidemic of the 21st century'. As described in ancient texts, allergies have been known for over 2,000 years, but the term 'allergy' was only coined at the beginning of the 20th century when doctors began to understand their pathophysiological basis. This book presents a detailed and varied historical overview of the field of allergology. Beginning with insights on allergy from antiquity to the 20th century and the development of the associated terminology, it compiles historical reflections on the understanding of the most common allergic diseases. Important milestones in the discovery of mechanisms of allergy are described, followed by historical accounts of the detection of allergens such as pollen, dust mites, peanuts and latex, and of environmental influences such as pollution and the relationship between farmers and their environment. Several chapters illustrate the progress made in allergy management to date. Particular highlights of this book are the personal reflections of and interviews with a number of pioneers of allergy, including F. Austen, J. Bienenstock, K. Blaser, A. de Weck, A.W. Frankland, K. Ishizaka, and many more. Concluding with portrayals of allergy societies and collections, as well as being supplemented by two films, this book represents a veritable treasure trove of fascinating and richly illustrated information. Not only researchers, physicians and medical historians, but also students and even non-scientists will find History of Allergy a scientific adventure well worth reading.
