Zusammenfassung
Ambulante Anästhesie erfolgt immer im Rahmen einer ambulanten Operation – somit hängt
der Erfolg davon ab, wie gut die „Einheit ambulantes Operieren“ organisiert und aufeinander
abgestimmt ist. Dieser Beitrag beleuchtet die vielen rechtlichen Vorgaben, die es
beim ambulanten Operieren und Anästhesieren zu erfüllen gilt. Darüber hinaus werden
die Organisationsstrukturen im niedergelassenen Bereich und im Krankenhaus erläutert
und verglichen.
Abstract
Legislation, regulations and rules must be complied with when conducting ambulant
surgeries and administering ambulant anesthesia. Additionally, there are social welfare
legislation and regulations, as well as technical guidelines and standards that must
be complied with, for instance, regarding the management of medical products or the
disposal of waste and sewage in medical practices. At a country level, many of these
regulatory areas are managed differently by each German state, and in some instances
management differs significantly from one state to another. Social and employment
legislation, as well as regulations for ambulant operating physicians and business
operators have to be observed. In order to prevent nosocomial infections, there is
a focus on maintaining compliance with hygiene regulations and the Infection Protection
Act. There are a variety of possible operational models and ways to organize ambulant
operating rooms. The particular model that is best for a specific practice will depend
on the local circumstances. That being said, particular attention should be given
to patient-centered, stress free surgical patient care, which should be prioritized
over the business. Ambulant surgery can be performed in private practices, as well
as hospitals, and the two usually differ significantly from one another. On the one
hand there are the well-organized, high performing, private practices, which have
a focus on ambulant surgeries, where the participating physicians contribute to the
success of the practice. On the other hand, there are the often large and cumbersomely
organized hospitals, where ambulant surgeries are viewed as more of a burden than
as an additional source of income.
Schlüsselwörter
Organisation ambulante Anästhesie - ambulante Anästhesie - rechtliche Vorgaben in
Deutschland - Infektionsschutz - ambulante Chirurgie
Key words
organized ambulant anesthesia - ambulant anesthesia - legal regulations in Germany
- infection protection act - ambulant surgery
