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Erfahrung des Operateurs als Einflussfaktor auf die Operationsdauer am Beispiel ausgewählter unfallchirurgischer und orthopädischer Eingriffe an einer Universitätsklinik

dc.contributor.advisorSehmisch, Stephan Prof. Dr.
dc.contributor.authorBohlmann, Jantje
dc.date.accessioned2022-06-03T10:03:25Z
dc.date.available2022-06-10T00:50:13Z
dc.date.issued2022-06-03
dc.identifier.urihttp://resolver.sub.uni-goettingen.de/purl?ediss-11858/14083
dc.identifier.urihttp://dx.doi.org/10.53846/goediss-9228
dc.language.isodeude
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subject.ddc610de
dc.titleErfahrung des Operateurs als Einflussfaktor auf die Operationsdauer am Beispiel ausgewählter unfallchirurgischer und orthopädischer Eingriffe an einer Universitätsklinikde
dc.typedoctoralThesisde
dc.contributor.refereeSehmisch, Stephan Prof. Dr.
dc.date.examination2022-05-05de
dc.description.abstractengIn healthcare, cost-effectiveness plays an increasingly important role, at least since the introduction of the Diagnosis Related Groups (DRG) system. Meanwhile, the training and further education of residents gets more important, not least because of the increasing shortage of physicians. In this area of conflict, this study project at a university hospital examined whether the experience of the surgeon can influence the duration of an operation. For this purpose, the incision-suture times of less experienced surgeons were compared with those of experienced surgeons in the field of endoprosthetics, material removal and osteosynthesis for up to 1,500 operations. In endoprosthetics, the incision-suture times of the less experienced surgeons were longer on average than those of experienced colleagues. Similar could be shown for the removal of osteosynthesis material. For osteosynthesis treatment, on the other hand, it took less time for less experienced physicians than more experienced colleagues, but more than senior surgeons (with private liquidation). The study shows differences in the individual patient collectives as a possible reason for this. The patients of the less experienced physicians showed a lower "Patient Comorbidity and Compliation Level" (PCCL). The results of this study should serve a well-founded exchange in a field of tension between medical and economic perspectives, the jointly declared goal of which should be the sustainable health care of society.de
dc.contributor.coRefereeWaeschle, Reiner M. Dr.
dc.subject.gerOPSde
dc.subject.gerOPS-Codede
dc.subject.gerKodierungde
dc.subject.gerOperationsdauerde
dc.subject.gerSchnitt-Naht-Zeitde
dc.subject.gerDauer Operationde
dc.subject.gerErfahrung Operateurde
dc.subject.gerWeiterbildungde
dc.subject.gerPCCLde
dc.subject.gerpatient comorbidity and complication levelde
dc.subject.engOPSde
dc.subject.engresidentsde
dc.subject.engOPS codede
dc.subject.engDRGde
dc.subject.engduration of operationde
dc.subject.engincision timede
dc.subject.engsuture timede
dc.subject.engincision-suture timede
dc.subject.engexperience surgeonde
dc.subject.engPCCLde
dc.subject.engresident trainingde
dc.subject.engpatient comorbidity and complication levelde
dc.subject.engphysiciansde
dc.identifier.urnurn:nbn:de:gbv:7-ediss-14083-8
dc.affiliation.instituteMedizinische Fakultätde
dc.subject.gokfullChirurgie - Allgemein- und Gesamtdarstellungen (PPN619875968)de
dc.subject.gokfullKrankenhauswesen {Medizin} (PPN619876670)de
dc.subject.gokfullÖffentliches Gesundheitswesen / Arbeitsmedizin / Präventivmedizin / Sozialmedizin - Allgemein- und Gesamtdarstellungen (PPN619876441)de
dc.description.embargoed2022-06-10de
dc.identifier.ppn1806821966


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