Verbesserung der medizinischen Versorgung und des Outcomes sehr kleiner und leichter Fru?hgeborener durch klinisches Benchmarking

by

This is a benchmarking projekt between the " Berliner Klinik für Neonatologie der Charité Campus Mitte " and the " Abteilung für neonatologische Intensivmedizin der Universitätskinderklinik in Innsbruck on the basis of the Vermont-Oxford-Neonatal-Network for the years 1997 to 2001. After analysing the Outcome for each clinic, it was analysed the extern evidence through literary search in PubMed and the Cochrane Database of Systematic Reviews. Then we created a questionaire about the clinical guidelines concerning the relevant outcome parameters. The respiratory distress syndrom, the necrotising enterocolitis and the bacterial infections were selected for the benchmarking. The analysis of the internal guidelines showed that there were differences between the two clinis in respiratory interventions, in feeding and the management of infections. The Diskussion showed that there is a need of further evidence-based research in many items. Seite III Inhaltsverzeichnis A Einleitung..................................................................................................................1 A.1 Senkung der Langzeitmorbidität Frühgeborener - eine Hauptaufgabe der Neonatologie