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Kommunikation – ein Missverständnis?!

Communication – a misunderstanding?!

  • Leitthema
  • Published:
Intensivmedizin und Notfallmedizin

Zusammenfassung

Fehler und Zwischenfälle sind in der Medizin häufig, und besonders Bereiche mit hoher Arbeitsbelastung und schwer kranken Patienten wie die Intensivmedizin sind somit potenziell anfällig für das Auftreten unerwünschte Ereignisse. Die in der Intensivmedizin vorherrschenden Rahmenbedingungen bezeichnen Psychologen als „kognitiv komplexes Umfeld“. Im Rahmen der Tätigkeiten des Intensivmediziners nimmt die mündliche und schriftliche Nachrichtenübermittlung, d. h. Kommunikation, aufgrund der vielen Schnittstellen der innerbetrieblichen Organisation und Patientenversorgung eine herausragende Rolle ein. Kommunikationsschwierigkeiten, d. h. Missverständnisse oder das Fehlen notwendiger Kommunikation, stellen in der (Intensiv-)Medizin ein relevantes und alltägliches Problem dar. Weniger eindeutig sind die Vorstellungen, wie die Kommunikation im (intensiv)medizinischen Team verbessert werden kann.

Abstract

Errors and incidents occur frequently in medicine. The likelihood of adverse events increases with the intensity of care, the severity of illness, and the complexity of the care-providing system, etc. The modern intensive care unit constitutes what psychologists have termed a “cognitively complex environment”. Considering the many organizational tasks and responsibilities related to patient care, verbal and written communication are of utmost importance for all areas in intensive care. Difficulties with such communication, i.e. misunderstandings or failure to communicate at all, constitute a relevant shortcoming in our daily routine. Although we know about these limitations, concepts for improvements still have to be developed for the intensive care unit team.

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Authors and Affiliations

  1. Klinik für Anästhesie und Intensivtherapie, Philipps-Universität Marburg, Universitätsklinikum Gießen und Marburg GmbH, Standort Marburg, Baldingerstr., 35043, Marburg, Deutschland

    J. Graf

  2. Zentrum für Innere Medizin, Schwerpunkt Gastroenterologie, Justus-Liebig-Universität Gießen, Gießen, Deutschland

    T. Rath & E. Roeb

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  1. J. Graf
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Correspondence to J. Graf.

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Graf, J., Rath, T. & Roeb, E. Kommunikation – ein Missverständnis?!. Intensivmed 46, 313–317 (2009). https://doi.org/10.1007/s00390-009-0049-9

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