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H K Selbmann

Publications and source records attributed to H K Selbmann.

96 records · Page 6Linked to original sources
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[Quality assurance exemplified by perinatology and surgery].

Quality assurance encompasses all activities which are necessary to obtain a demanded quality of medical care. Typically, a quality assurance process ("monitoring- and evaluation-process") includes the following steps: systematic observation of quality of medical care using quality indicators, assessment of quality by comparison with standards and recognizing problems, analysis of the most important problem, realization of appropriate problem solving strategies and evaluation, if the problem is successfully solved through the corrective action. The quality assurance programs in perinatology and surgery--established in all the states of the Federal Republic of Germany--support the hospitals in the application of this quality assurance process. Uniform documentation and preparation of quality relevant information (lists of complications, profiles, charts, etc.) help the hospitals to perform a self-evaluation, to recognize problems and to verify the elimination of the problems. Hence, comparisons with local results and with results of other hospitals are possible.

Cesarean Section↗
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On research subsystems and their integration in the computer-supported part of hospital information systems.

Taking as an example the special research programme ('Sonderforschungsbereich') in leukemia research and immunogenetics (SFB120) of the University of Tübingen, we intend to discuss how research subsystems should be built up, which functions they should take over and which network architecture is suitable. Furthermore, we examined to what extent research subsystems can be integrated in the computer-supported part of hospital information systems. It can easily be seen that no general solution exists for the structuring. The structure depends rather upon the specific problems and information requirements of individual research units. The clinical environment must be taken into account if research subsystems are to be integrated into the computer-supported part of a hospital information system. Especially in regard to the data protection aspect, we must keep in mind that the connection between subsystems must not necessarily result in the setup of a network for the corresponding computer systems.

Computer Communication Networks↗
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[Can the indications for the presence of the neonatal emergency service be determined before the onset of labor?].

The purpose of this study was to recommend guidelines for the consultation of the Neonatal Emergency Service when birth risks appear. Data from 39.479 births in 20 obstetric clinics and 1.723 emergency transports to the same clinics during the period 1979-1981 were analysed. The criteria applied for neonatal distress were necessity of resuscitation measures in the delivery room and perinatal mortality. It is recommended that the Neonatal Emergency Service should be called in before birth in the following cases: all premature births up to 34 weeks of gestation; from 35 to 37 weeks in case of additional risk factors; from 38th week onward in case of intrapartum bleeding, umbilical cord prolapse or tear, multiple births, transverse or face presentations and continuous heart rate deceleration.

Asphyxia Neonatorum↗