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Ein Katalog Pflegeheim-sensitiver Krankenhausf\u00e4lle (PSK) bildet die Grundlage f\u00fcr die Entwicklung von Handlungsempfehlungen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methoden<\/jats:title>\n                <jats:p>In zwei vorangegangenen Forschungsphasen entwickelte ein Expertenpanel einen Katalog mit 58 PSK mittels eines angepassten Delphi-Verfahrens (die RAND\/UCLA Appropriateness Methode). Dieses Verfahren wurde von der Nord-Amerikanischen gemeinn\u00fctzigen Research and Development Organisation (RAND) und Klinikern der Universit\u00e4t von Kalifornien in Los Angeles (UCLA) entwickelt. In der hier vorgestellten dritten Projektphase wurden zun\u00e4chst in einem Expertenworkshop Interventionsans\u00e4tze zu deren Reduktion entwickelt. Die Ergebnisse wurden anschlie\u00dfend durch sechs Gutachtende aus themenverwandten Sektoren bewertet, erg\u00e4nzt und systematisch zur Erstellung von Handlungsempfehlungen verwendet. M\u00f6gliche Umsetzungsh\u00fcrden wurden ber\u00fccksichtigt und der Zeithorizont der Wirksamkeit abgesch\u00e4tzt.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Ergebnis<\/jats:title>\n                <jats:p>Die Handlungsempfehlungen betreffen Bereiche der Kommunikation, Kooperation, Dokumentation und Versorgungskompetenz sowie einrichtungsbezogene, finanzielle und rechtliche Aspekte. Einzelne Indikationsb\u00fcndel demonstrieren die Relevanz f\u00fcr das deutsche Gesundheitswesen. Zur Erh\u00f6hung der Wirksamkeit empfehlen die Sachverst\u00e4ndigen eine sinnvolle Kombination von Handlungsempfehlungen.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Diskussion<\/jats:title>\n                <jats:p>Durch eine Optimierung multidisziplin\u00e4rer Kommunikation und Kooperation, kombiniert mit einem \u2013\u00a0auch digitalen\u00a0\u2013 Ausbau der Infrastruktur bei Schaffung einrichtungsbezogener rechtlicher Voraussetzungen und Verg\u00fctungsstrukturen, k\u00f6nnten fast 35\u202f% aller Hospitalisierungen aus dem Pflegeheim, rund 220.000 Krankenhausf\u00e4lle in Deutschland, vermieden werden. Die f\u00fcr Ma\u00dfnahmen erforderlichen Ausgaben k\u00f6nnten aus Einsparungen durch vermiedene Krankenhausaufenthalte in H\u00f6he von 768\u202fMio.\u202f\u20ac refinanziert werden.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00103-022-03654-4","type":"journal-article","created":{"date-parts":[[2023,1,10]],"date-time":"2023-01-10T09:04:06Z","timestamp":1673341446000},"page":"199-211","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["Pflegeheim-sensitive Krankenhausf\u00e4lle und Ans\u00e4tze zur Verringerung der Hospitalisierung von Pflegeheimbewohnerinnen und -bewohnern","Nursing home-sensitive conditions and approaches to reduce hospitalization of nursing home residents"],"prefix":"10.1007","volume":"66","author":[{"given":"Maria Paula","family":"Valk-Draad","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Bohnet-Joschko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"PSK-Studiengruppe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria Paula","family":"Valk-Draad","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katja","family":"Stahl","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Christel","family":"Bienstein","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hans-J\u00fcrgen","family":"Heppner","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andreas","family":"S\u00f6nnichsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hagen Sjard","family":"Bachmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petra","family":"Thuermann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Oliver","family":"Gr\u00f6ne","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paula","family":"Zietzsch","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Helmut","family":"Hildebrandt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Klie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sabine","family":"Bohnet-Joschko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,1,10]]},"reference":[{"key":"3654_CR1","unstructured":"Bundesministerium f\u00fcr Gesundheit (BMG) (2021) Zahlen und Fakten zur Pflegeversicherung. https:\/\/www.bundesgesundheitsministerium.de\/fileadmin\/Dateien\/3_Downloads\/Statistiken\/Pflegeversicherung\/Zahlen_und_Fakten\/Zahlen_und_Fakten_der_SPV_Juni_2021_bf.pdf. 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