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DOI: 10.1055/s-2000-13031
Wie viele Intensivbetten sind notwendig?
Eine quantitative Untersuchung mit dem Therapeutic Intervention Scoring System (TISS) in fünf hessischen KrankenhäusernHow many Critical Care Beds are Needed?Publication History
Publication Date:
31 December 2000 (online)
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Zusammenfassung
In fünf großen hessischen Krankenhäusern wurden alle Intensivpatienten über einen Zeitraum von vier Wochen täglich nach dem Therapeutic Intervention Scoring System (TISS) eingruppiert, um die Anzahl der notwendigen Intensivbetten nach den Hessischen Intensivrichtlinien zu ermitteln. Stichproben ergaben eine hohe Zuverlässigkeit der erhobenen Daten. Es wurden insgesamt 10 756 TISS-Einstufungen ausgewertet. Hierbei waren 9,4 % der Einstufungen der Normaltherapie, 27,5 % der Intensivüberwachung und 63,1 % der Intensivbehandlung zuzuordnen. Bei einem angenommenen Soll-Nutzungsgrad von 85 % ergab sich ein durchschnittlicher Intensivbettenbedarf in Höhe von 6,1 % der Gesamtbetten. Die Untersuchungsergebnisse fanden eine hohe Akzeptanz bei Kostenträgern und beteiligten Krankenhäusern.
How many Critical Care Beds are Needed?
A quantitative investigation based on the Therapeutic Intervention Scoring System (TISS) in five Hessian hospitals
In five major Hessian hospitals all patients of critical care units have been grouped according to the Therapeutic Intervention Scoring System (TISS) over a time span of four weeks. The objective was to establish the critical care patient capacitiy needed in accordance with the Hessian Guidelines for Critical Care. Sample surveys showed that the ascertained data are highly reliable. 10,756 TISS-classifications have been evaluated in total. 9.4 % of the classifications have been assigned to general ward, 27.5 % to intensive monitoring and 63.1 % to intensive treatment. Assuming a standard rate of use of 85 % over the year this revealed an average requirement of critical care patient capacity of 6.1 % of the total number of beds. The results of the investigation were readily accepted by health insurances and hospitals involved.
Key words
Critical Care Beds Need - TISS - Critical Care Score - Hessian Guidelines for Critical Care
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Dr. Jörg van Essen
MDK in Hessen
Gablonzer Straße 35
61440 Oberursel