Generalizable items and modular structure for computerised physician staffing calculation on intensive care units : = Generalizable items and modular structure for computerised physician staffing calculation on intensive care units
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 ofAnesthesiology 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..
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2017-08-04 2017 |
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| Erschienen: |
2017-08-04 |
| Enthalten in: |
Zur Gesamtaufnahme - year:2017 |
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| Enthalten in: |
World Journal of Critical Care Medicine = 世界危重病急救学杂志(英文版) - (2017), 03 vom: 04. Aug., Seite 153-163 Original Letters: Enthalten in (DE-627)CAJ468391436 (DE-627)CAJ468391436 |
| Reihe: |
China Academic Journals (CAJ), E, 医药卫生科技 = Medicine & Public Health |
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| Sprache: |
Chinesisch |
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| Weiterer Titel: |
Generalizable items and modular structure for computerised physician staffing calculation on intensive care units |
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| Beteiligte Personen: |
Manfred Weiss [VerfasserIn] |
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| Links: |
oversea.cnki.net [lizenzpflichtig] |
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| Anmerkungen: |
Author info:Manfred Weiss;Gernot Marx;Thomas Iber;Department of Anesthesiology, University Hospital Ulm;Klinik für Operative Intensivmedizin und Intermediate Care, Uniklinik RWTH Aachen;Department of Anesthesia and Intensive Care, Klinikum Mittelbaden Baden-Baden/Bühl |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
CAJ568140818 |
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| 520 | |a 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 ofAnesthesiology 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. | ||
| 610 | 2 | 4 | |a Department of Anesthesiology, University Hospital Ulm |
| 610 | 2 | 4 | |a Klinik für Operative Intensivmedizin und Intermediate Care, Uniklinik RWTH Aachen |
| 610 | 2 | 4 | |a Department of Anesthesia and Intensive Care, Klinikum Mittelbaden Baden-Baden/Bühl |
| 650 | 4 | |a 保健组织与事业（卫生事业管理） | |
| 650 | 4 | |a 预防医学、卫生学 | |
| 650 | 4 | |a 医药、卫生 | |
| 650 | 4 | |a Policy and Law Research of Medicine and Sanitation | |
| 650 | 4 | |a 医药卫生科技 | |
| 650 | 4 | |a Medicine & Public Health | |
| 650 | 4 | |a Budgets | |
| 650 | 4 | |a Critical care | |
| 650 | 4 | |a Economics | |
| 650 | 4 | |a Humans | |
| 650 | 4 | |a Intensive care units | |
| 650 | 4 | |a Personnel hospital | |
| 650 | 4 | |a Personnel staffing and scheduling | |
| 650 | 4 | |a Physicians | |
| 650 | 4 | |a Workload | |
| 650 | 4 | |a Quality of health care | |
| 700 | 0 | |a Gernot Marx |4 oth | |
| 700 | 0 | |a Thomas Iber |4 oth | |
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