Lege Artis Medicinae

[Interdisciplinary quality assurance of hospital infrastructure Part I]

EUGEN Hauke

JULY 29, 1992

Lege Artis Medicinae - 1992;2(07)

[Quality assurance has become a common and frequent concept for doctors and nursing staff, with studies and practical examples in many countries. However, progress in practical measures varies widely (1); What is the infrastructure of a hospital?; The importance of organisation; The importance of doctors in quality assurance; Why quality assurance is needed in direct patient care; How to ensure quality in indirect patient care;]

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[Psychologically intravascular coagulation of the blood is hampered by the endothelium, the inhibitors of the coagulation system and the circulation as well. Various pathological events may the diffuse activation of the blood coagulation factors causing disseminated intravascular coagulation. The two main consequences of the DIC are ischaemia in the organs concerned and the consumption of the blood coagulation factors. The activation of the fibrinolytic system improves the former though aggravates the latter pathological events. In the prevention and therapy the effective treatment of the basic disease is of primary importance. Thorough evaluation of the clinical symptoms and the laboratory data can help in the diagnostics. Heparin can be administered only in the hypercoagulative-consumptive forms of the DIC if bleeding does not exist actually. In recent years, the administration of the anti thrombin concentrate has come into prominence because it can promote the restitution of the coagulation system without increase of bleeding. Antifibrinolytic (Gordox) therapy is advised only in cases of extreme hyperfibrinolytic activity. ]

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