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摘要:
Intensive care medicine remains one of the most costdriving areas within hospitals with high personnel costs.Under the scope of limited budgets and reimbursement,realistic needs are essential to justify personnel staffing.Unfortunately,all existing staffing models are top-down calculations with a high variability in results.We present a workload-oriented model,integrating quality of care,efficiency of processes,legal,educational,controlling,local,organisational and economic aspects.In our model,the physician’s workload solely related to the intensive care unit depends on three tasks:Patient-oriented tasks,divided in basic tasks(performed in every patient)and additional tasks(necessary in patients with specific diagnostic and therapeutic requirements depending on their specific illness,only),and non patient-oriented tasks.All three tasks have to be taken into account for calculating the required number of physicians.The calculation tool further allows to determine minimal personnel staffing,distribution of calculated personnel demand regarding type of employee due to working hours per year,shift work or standby duty.This model was introduced and described first by the German Board of Anesthesiologists and the German Society of Anesthesiology and Intensive Care Medicine in 2008 and since has been implemented and updated 2012 in Germany.The modular,flexible nature of the Excel-based calculation tool should allow adaption to the respective legal and organizational demands of different countries.After 8 years of experience with this calculation,we report the generalizable key aspects which may help physicians all around the world to justify realistic workload-oriented personnel staffing needs.
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篇名 Generalizable items and modular structure for computerised physician staffing calculation on intensive care units
来源期刊 世界重症医学杂志 学科 医学
关键词 Budgets Critical CARE Economics Humans Intensive CARE units PERSONNEL hospital PERSONNEL STAFFING and scheduling PHYSICIANS WORKLOAD Quality of health CARE
年,卷(期) 2017,(3) 所属期刊栏目
研究方向 页码范围 153-163
页数 11页 分类号 R
字数 语种
DOI
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研究主题发展历程
节点文献
Budgets
Critical
CARE
Economics
Humans
Intensive
CARE
units
PERSONNEL
hospital
PERSONNEL
STAFFING
and
scheduling
PHYSICIANS
WORKLOAD
Quality
of
health
CARE
研究起点
研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界重症医学杂志
不定期
2220-3141
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
156
总下载数(次)
0
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