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Kardiologie up2date 2018; 14(02): 109-114
DOI: 10.1055/s-0043-122084
SOP / Arbeitsablauf
Georg Thieme Verlag KG Stuttgart · New York

SOP beim akuten Koronarsyndrom – Update 2018

SOP om Acute Coronary Syndrome – Update 2018
Martin Möckel
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Publikationsdatum:
18. Juni 2018 (online)

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Zusammenfassung

In den Leitlinien zum akuten Koronarsyndrom (ACS) sind die Behandlungsoptionen, aber auch die Notwendigkeit der Netzwerkbildung zwischen den Bereichen der Versorgung festgeschrieben. Wir beschäftigen uns in diesem Beitrag mit der Umsetzung der Leitlinien in krankenhausbezogene SOP am Beispiel des ST-Hebungsinfarkts (STEMI).

Abstract

The traditional view of medical diagnostics and therapy focusses on the individual physician treating a single patient. This remains true with respect to the specific patient-physician relation. Nevertheless, with increasing complexity of treatment options, the success increasingly depends on larger inter- and multiprofessional teams, including several sectors of the health care system. For example, in Acute Coronary Syndrome (ACS), the management starts in the prehospital setting with the initiation of resuscitation stand-by and basic measures, followed by the transport to the hospital, the initial diagnostics and first steps of therapy in the Emergency Department, the transfer to the catheterization laboratory for potential reperfusion therapy, the intensive care and complication management, the initiation of guideline adherent long-term therapy on the regular ward, rehabilitation and further outpatient management to ensure long-term treatment success.

This long list supports the idea that the interaction within the chain of treatment needs to be standardized.

In the ACS guidelines not only details of treatment but also the setup of a network, which connects the involved partners, is recommended.

In this paper we describe the set-up of guidelines use in the hospital using SOPs in the example of STEMI. The preparations of checklists, which are integrated by a flowchart based overview of treatment-algorithms, have the purpose to ensure patient safety, effective treatment and the generation of key performance indicators for quality control. In the future, easy access IT-based systems (e.g. a “CPU-App”) will facilitate the network and interaction of teams and support the optimization of the individualized therapy.

Schlüsselwörter

Akutes Koronarsyndrom - Standardisierung - Leitlinien - IT-Unterstützung

Key words

acute coronary syndrome - standardization - guidelines - IT-support
 

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