The smart city at INTERGEO – discover the urban future

Cities of all sizes are currently working on offering their growing populations attractive, sustainable living spaces, so smart city solutions are booming. These cities are faced with huge traffic, energy, environmental, health and education challenges and each of them requires its own specific solutions. INTERGEO considers this development and the rapidly growing market for smart city solutions to be extremely important, as reflected by both the conference programme and the SMART CITY SOLUTIONS topic platform that acts as a meeting point for providers of such solutions.

The urban era has only just started. According to the latest figures from the United Nations, around three-quarters of the world’s population will be living in cities by the year 2050. This trend is even further advanced in Germany. According to a study published on the “Statista” statistics portal, some 78.6 percent of the country’s population will be living in cities by 2030. An entire generation of urban planners and developers, traffic and environmental experts, local politicians and municipal energy providers are therefore joining research institutions and EU projects in addressing the question of how to prepare cities for this additional population pressure.

What will the smart city of the future look like?

To ensure cities become attractive and adaptable living spaces in the future, cutting-edge IT is being used on a widespread basis to turn them into smart cities. But what exactly does that mean? What aspects of urban life are affected? And how are city dwellers reacting to this digitalisation of their living environment? There is no definitive answer to any of these questions because every city is unique and has its own requirements and challenges. The starting point for every smart city is therefore to analyse local features and the goals of local authorities and the people living there. A wide range of data needs to be collected and analysed along with existing information, and the basic function of geodata is deemed extremely important in this regard.

Basis for healthy urban growth

INTERGEO sees the smart city as a basis for healthy urban growth and is presenting itself as a platform for this dynamic sector of the economy. The topic is a focal point during all three days of the INTERGEO Conference. The “Local authorities and digitalisation”, “Smart city” and “Lighthouse city Germany” programme blocks follow the steps involved in cities becoming smart and underline the importance of geoinformation throughout this process.

Networking providers and cities at SCS

SMART CITY SOLUTIONS is a meeting point for international providers of smart city tools and the people responsible for urban development, mobility and the environment in cities and communities. Thomas Müller and Bart Gorynski from the “bee smart city” internet platform, an exhibitor and panel organiser at SMART CITY SOLUTIONS, define a smart city as an ecosystem of solutions and have the following to say: “We’re delighted to actively support SCS precisely because its fundamental objective is to highlight the many different facets of the smart city and bring together providers and the cities themselves.” Mitsubishi Electric is also exhibiting at INTERGEO. The Japanese company sees its mobile mapping system and automated mapping technologies as the basis for driverless vehicles, efficient infrastructure management and disaster protection. It regards INTERGEO as an ideal opportunity to meet partners for the future who are keen to pave the way for new, innovative business models and markets.

All this is exactly what SMART CITY SOLUTIONS is aiming for, providing a platform for providers to network and meet city representatives, and also for cities to enter into dialogue and compare their solutions.

Smart city solution providers, urban developers and planners, environmental and traffic experts, economic development specialists, urban consultants and local authorities can discover the urban future – in Frankfurt from 16 to 18 October at INTERGEO, the accompanying conference and the special part of the trade fair devoted to SMART CITY SOLUTIONS.

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Systematically innovative enclosures

After five years of development work, Rittal has unveiled its new VX25 large enclosure system at the 2018 Hanover Trade Fair for the very first time. It is the first enclosure system that has been fully developed to meet the requirements for increased productivity in control and switchgear manufacturing and along the Industry 4.0 value chains. With the “SYSTEM PERFECTION.” slogan, Rittal is promising a major innovative leap, which has been made possible by depth of experience and intensive customer dialogue. The VX25 offers the highest possible quality and consistency of data, reduced complexity and savings in time, as well as safe assembly. More than 25 registered property rights demonstrate the high level of innovation involved.

How can the best be made even better? This is the question that Rittal asked itself as it began developing a new enclosure system. “The market needs an enclosure that cuts throughput times in engineering and assembly, reduces complexity and that finds a place for itself as a full-grown module in the megatrend of digitisation,” said Dr Thomas Steffen, Managing Director Research and Development at Rittal. And he went on to say that “the new Rittal large enclosure has now become 100 percent Industry 4.0-capable. With the combination of a real enclosure and its digital twin, the new development will meet every future digitization needs – from online configuration and engineering to assembly, as well as automation, logistics and maintenance.”

Study: observe, listen and learn

Intensive dialogue with Rittal customers was crucial in developing the new large enclosure system. During a large-scale, scientifically based usability study, researchers used words, images and moving film to document the everyday working life of control and switchgear manufacturers, covering ten companies in Germany, eight in the USA and six in China, including small, medium-sized and large companies. “This user analysis was an eye-opener. In some cases, we spotted problems that the customers themselves hadn’t yet identified,” said Dr Steffen. As a result, 150 systematically recorded and specific requirements for a new enclosure emerged, providing developers and product managers with a robust guide for the actual development work. Rittal also used the findings of the customer advisory council, which was also involved, to complement this. Later, during the development phase, Rittal did not give up any single essential point.

The result: Pure customer benefits!

The development culminated in the new VX25 large enclosure system. VX25 stands for the versatility of options, the fulfilment of x customer requirements and for perfect symmetry through a consistent 25-mm pitch pattern. “What is new is that no enclosure system has ever been previously developed so consistently and systematically to ensure maximum customer benefit. The VX25 matches the way the control and switchgear manufacturer thinks and works – both in functions and processes, added Dr Steffen.

Customer benefit along the entire value chain of control and switchgear manufacturing can be summarised in three key points: maximum data quality and a constant supply of data, reduced complexity and savings in time, as well as safe assembly.

Patents: a high degree of innovation

The heart of the innovation is the newly developed frame section. It determines the installation space, the efficiency in engineering and assembly, the expansion options, the stability and thus the reliability and flexibility in the customer’s workshop. With the new large enclosure system, it has been possible to maintain all the important and established product features of the existing, worldwide TS 8 large enclosure system and to expand them significantly with a multitude of new functions and customer benefits. More than 25 registered property rights demonstrate the high level of innovation involved.

Production: maximum quality

For Rittal, SYSTEM PERFECTION also involves high-tech manufacturing. It has invested in new state-of-the-art production facilities in order to manufacture the new frame section of the VX25. New and fully automatic profiling systems and volume production lines with a total of 31 welding and handling robots are witness to maximum quality combined with precision and stability. The result is that the frame section of the VX25, which has a consistent 25-mm pitch pattern, is clearly more stable than its TS 8 predecessor, although the weight is the same.

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Sicherheit und Stabilität in der Energieversorgung (Case Study)

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  • Rhebo veröffentlicht Case Study zur industriellen Anomalieerkennung in Kritischen Infrastrukturen
  • Mittels Rhebo Industrial Protector erzielte ein Netzbetreiber vollständige Transparenz über seine Netzleittechnik
  • Die Anomalieerkennung meldete mehrere Vorfälle, die auf Netzwerk- oder Cybersicherheitsprobleme hinwiesen

Kritische Infrastrukturen sind einer zunehmenden Vernetzung der Anlagen und Prozesse unterworfen. Die Auswirkungen dieser Entwicklung für die Cybersicherheit zeigte sich jüngst anhand der Hackerattacke auf die Netzwerke des Energieversorgers EnBW. Eine bislang unbekannte Hackergruppe hatte demnach die IT-Infrastruktur der EnBW-Tochter Netcom BW infiltriert. Doch auch die operative Prozessstabilität und Kontinuität sind betroffen. Dass beide Gefahrenpotentiale eine Rolle spielen, zeigen Ergebnisse aus dem Projekt eines kontinuierlichen Netzwerkmonitorings bei einem Energieunternehmen.

Bei einem deutschen Netzbetreiber wurde 2017 die industrielle Anomalieerkennung  Rhebo Industrial Protector zur lückenlosen Überwachung seiner Netzleittechnik installiert. Das Energiewirtschaftsunternehmen reagierte damit auf die zunehmenden Gefährdungen für  Steuerungsnetze der Anlagen (Industrial Control Systems, ICS). In der Netzleittechnik fanden sich mehrere Hundert Einzelkomponenten, die potentiell angegriffen werden können. Zudem begegnete das Unternehmen mit der Lösung den Anforderungen aus dem IT-Sicherheitsgesetz, dem Industriestandard ISO 27002 sowie den Empfehlungen des BDEW. Diese fordern sowohl eine lückenlose Detektion jeglicher verdächtiger Vorgänge in der informationstechnischen Infrastruktur, als auch die detaillierte Meldung von Vorfällen, welche die Versorgungssicherheit beeinträchtigen könnten.

Komplexität von Steuerungssystemen steigt

Seit Beginn des Netzwerkmonitorings wurden mehrere Kommunikationsvorgänge in Echtzeit identifiziert, die zu Störungen der Versorgungssicherheit führen könnten. Zu diesen Anomalien gehörten nicht nur sicherheitsrelevante Vorgänge. Es fanden sich zudem Kommunikationsstrukturen, die auf versteckte Netzwerkprobleme und Fehlkonfigurationen hinwiesen.

Im Bereich Cybersicherheit fanden sich beispielsweise unverschlüsselte SMB- und NetBIOS-Protokolle, die ungewollte Fernkonfiguration und Filesharing erlaubten.

Die Übertragungsqualität in der Netzleittechnik wurde wiederum durch verschiedene zuvor unbekannte Netzwerkfehler gefährdet. Hierzu gehörten u.a. Checksummen-Fehler, Retransmissions, fehlende Pakete in TCP-Handshakes und TCP-Verkehr nach Verbindungsende.

Stabilität, Compliance und Cybersicherheit

Mit Rhebo Industrial Protector erlangte der Verteilnetzbetreiber vollständige Transparenz über Teilnehmer und Kommunikationsbeziehungen innerhalb seiner Netzleittechnik. Die industrielle Anomalieerkennung unterstützt als integraler Bestandteil des ISMS den Netzbetreiber damit auch nachhaltig und effizient beim Aufbau der Industrial Security entsprechend gesetzlicher und normativer Anforderungen.

Die vollständige Case Study erhalten Sie bei rhebo.com.

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GILUPI attends the ISMRC congress in Montpellier, France

GILUPI GmbH is pleased to announce its participation at the 2018 ISMRC (International Symposium on Minimal Residual Cancer) congress.

The 11th ISMRC symposium will take place from 3rd to 5th of May in Montpellier, France and is focused on “Minimal Residual Cancer in patients with solid tumors”. This congress brings together researchers from academia and industry sharing information about liquid biopsy. The program will include presentations on Circulating Tumor Cells (CTCs) as well as circulating nucleic acids (DNA, miRNA) and exosomes with an emphasis on clinical studies and the biology of metastasis.

GILUPI will use this opportunity to present data from clinical settings with focus on therapy-relevant targets in lung and prostate cancer detected on CTCs by using the in vivo GILUPI CellCollector® technology. The poster presentation (P-54) will take place on Thursday 3rd of May at 2.30 pm – 3.20 pm. You are invited to meet the CEO of GILUPI Dr. Christian Jurinke.

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Simply the best – LucaNet rated market leader in BARC Score for Financial Performance Management

LucaNet, the expert in financial performance management (FPM), has prevailed as a market leader for financial performance management solutions in the latest study from BARC. In the study, LucaNet stood out thanks to its very good market positioning and its comprehensive software suite. The suite covers all relevant processes in a finance department.

In the BARC Score for Financial Performance Management DACH (German-speaking Europe) report, the Würzburg-based analysts emphasize the growing importance of comprehensive financial management for enterprises. FPM creates transparency in internal and external accounting by giving a comprehensive picture of both past and anticipated financial data. This allows specific areas of activity to be identified for process optimization by the finance department. Both SMEs and large corporations can benefit from the proven software solution for consolidation, planning, reporting and analysis from LucaNet.

In total, 13 software providers were evaluated in terms of their product coverage and market position. LucaNet was one of four vendors to be awarded the market leader status. Results from the customer satisfaction survey, which were determined in conjunction with the BARC Planning Survey, also contributed to the rating process. For this, 1,299 responses were evaluated. Reasons for the excellent performance by the Berlin-based software provider were the outstanding scores in the customer satisfaction, project success, user friendliness, pre-defined interfaces, and performance categories.

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Salary study on medium-sized companies provides insight beyond corporations

In the recently published ‚Salary Atlas for SMEs‘, which the salary comparison portal ‚Gehalt.de‘ has compiled for the FAZ (Frankfurter Allgemeine Zeitung) from almost 555,000 salary data, there is a tendency for salaries to rise. The battle for the best talents is also reflected here.

According to the managing director of the company Gehalt.de, Philip Bierbach, the large and influential companies are significantly responsible as drivers for the high salaries. "If large companies are able to attract high salaries, the smaller company in the neighbourhood, which recruits the same employees, must also pay an attractive salary," said Bierbach.

Frankfurt is a typical city for this problem: numerous companies in the financial sector and large pharmaceutical companies are located here, so that many small and medium-sized companies are subject to the downward spiral of salaries. Many companies in the automotive industry are based in Stuttgart or further south. Here too, local medium-sized companies often have to dig deeper into their pockets when recruiting. Conversely, wages and salaries in regions with lower group settlements, such as Dresden, Leipzig or even Berlin, are significantly below the level, as the attraction remains lower due to the lack of many large local corporations.

These results clearly demonstrate that the fight for specialists and high potentials is a labour market where it is not the employer alone who decides, but employees now have many levers to choose the best job for them. Entrepreneurs are strongly challenged here to consider intelligent measures in order to score the best points with the candidates. Recruiters should therefore see themselves more as service providers and candidates as clients.

Although there is no magic formula, it is very important that companies do not take the issue of recruitment lightly and are aware of the current situation on the labour market and the possible financial side effects. Employer branding is an important factor in differentiating oneself from the competition and clearly addressing the peculiarities of the company among candidates.

"We also feel the salary structure when we fill medium-sized mandates that are located in the environment of larger companies and groups. The ongoing battle for the best brains has had a massive impact on the salary structure of many small and medium-sized enterprises. Employers should not bury their heads in the sand and wait for this phase to pass. This trend has not yet reached the tip of the iceberg, which is probably just the beginning in many industries," says Martin Krill, Managing Director of Hager Unternehmensberatung GmbH.

Conclusion:
The shortage of specialists and managers is not only reflected in the identification of the best and most suitable minds. Winning and ultimately retaining the right personnel with the right means is also crucial in order to be excellently positioned in terms of personnel and ultimately stand out from the competition. Here, good advice can often work wonders.

Author:
Martin Krill has been working for Hager Unternehmensberatung for more than fifteen years and was made a managing partner in 2004. He fills top sales and management positions in the technology industry as well as a number of other sectors.

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Hochschule Bremen erweitert ihre Indien-Kompetenz

Austausch von Lehrenden und Studierenden, gemeinsame Forschungsprojekte, neue Summer School-Programme: Neue Hochschul-Kooperationen auf den Weg gebracht

Das Programm war ausgesprochen umfangreich, als eine Delegation der Hochschule Bremen (HSB) sich in der zweiten Februar-Hälfte zu einer elftägigen Reise nach Indien begab. Stationen waren die Städte Neu Delhi, Jaipur, Poone, Manipal, Bangalore und Chennai. Bereits seit über zwei Jahrzehnten arbeitet mit renommierten indischen Universitäten zusammen. Rektorin Prof. Dr. Karin Luckey zieht eine positive Bilanz: „Wir haben zwei neue Kooperationserklärungen unterzeichnet, die unsere langjährige Partnerschaft vertiefen werden: mit der ,Manipal University Jaipur‘ und der ,Manipal Academy of Higher Education’. Mit dem international ausgesprochen renommierten Indian Institute of Technology Madras haben wir unsere langjährige Zusammenarbeit zudem um weitere fünf Jahre verlängert. Im Kern geht es bei den Vereinbarungen um den gegenseitigen Austausch von Lehrenden und Studierenden, gemeinsame Forschungsprojekte und die Entwicklung vom Summer School-Programmen. Der Aufbau eines ‚Indo-German Center for Applied Research and Academic Exchange‘ ist darüber hinaus das ausdrückliche Ziel des Vertrages mit der ,Manipal Academy of Higher Education’“, erläutert Karin Luckey. „Damit erweitern wir unsere Indien-Kompetenz, die unter anderem mit dem Sitz des India Study Centre an der Hochschule Bremen – wir sind damit eines von nur sechs dieser Zentren in ganz Europa – ihren Ausdruck findet.“

Konkret ging es um die Ausweitung der Kooperation auf neue Fachgebiete, unter anderem im Hinblick auf die Mobilität sowie Möglichkeiten zur Lehr- und Forschungskooperation auch im Masterbereich. Kontakte zu Firmen und Standorten der Außenhandelskammer in Neu Delhi und Chennai wurden genutzt, um sich über den indischen Arbeitsmarkt für Akademikerinnen und Akademiker mit Auslandserfahrung, Anforderungsprofile der HSB-Absolventinnen und -Absolventen und Praktikumsmöglichkeiten für die Studierenden auszutauschen. Außerdem wurde in den vielen Gesprächen der praxisbezogene Ansatz der HSB in Studium und Lehre – namentlich in technischen Fächern – herausgestellt.

Dies sind aktuell die indischen Partner-Universitäten der HSB:
Indian Institute of Technology (IIT) Madras, Chennai
Nehru College of Aeronautics and Applied Sciences, Coimbatore
Malaviya National Institute of Technology (MNIT), Jaipur
Manipal Academy of Higher Education-Deemed University/Manipal Group
Symbiosis Institute of International Business, Pune
University of Rajasthan, Jaipur

Neben Rektorin Prof. Dr. Karin Luckey gehörten zur Delegation:
Dr. Shazia Aziz Wülbers und Corinne Ghorbani (beide India Study Centre),
Prof. Dr. Tim Goydke (International Graduate Center),
Dr. Heike Tauerschmidt (International Office),
Dr. Monika Blaschke (Career Service),
Prof. Dr. Mechthild Schrooten und Prof. Christiane Trüe (beide Fakultät Wirtschaftswissenschaften),
Prof. Clemens Bonnen (Fakultät Architektur, Bau und Umwelt),
Prof. Dr. Rainer Hartmann (Fakultät Gesellschaftswissenschaften),
Prof. Dr. Helmut Eirund und Dr. Birgit Zich (beide Fakultät Elektrotechnik und Informatik),
Kapt. MSc. Willi Wittig (Fakultät Natur und Technik).

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Motor Spindle Safety System MS³

The most common accidents involving the use of machine tools include spindle crashes. Common causes include programming errors, incorrectly defined tools, disregarded interference contours, or unintentional high-speed operation. The forces involved are so enormous that components of the motor spindle, ceramic spindle bearings, shafts, encoders, clamping system and the entire machine geometry can be affected or even completely destroyed. A case study from RWTH Aachen shows that repair costs after a crash in the amount of five-digit euro amounts are not uncommon. Collision avoidance systems for machine tools minimize damage and reduce downtime and repair costs in the event of a collision. Nevertheless, only very few machine tools have a spindle collision protection at all. This is usually based on compression elements that act like a car bumper and are completely destroyed in the event of a crash.

Although the spindle components remain intact, downtime still occurs. The motor spindle protection system MS³ from JAKOB Antriebstechnik GmbH detects collisions by means of several sensors and reports them electronically to the machine control. This can bring the feed axes of the machine tool to a halt with measures such as braking and reversing the drives. But beyond that, the motor spindle protection system can immediately interrupt the power flow at the interface between the spindle box and the motor spindle by means of 3D deflection in the event of a collision-induced overload, even before the electronic emergency stop, mechanically and energy-autonomously.

This effective combination of mechanical protection system and active electronic sensor monitoring makes the system superior to purely electronic collision avoidance systems and effectively protects the shock-sensitive components of the motor spindle from the high force peaks of the collision. The resulting kinetic energy of the crash intercepts a built-in shock absorber. The difference is made by a double flange system with built-in permanent magnets. They can guarantee the required high holding forces and rigidity. During the disengaging process, compression springs guide the motor spindle and then return it to its original position. The downtime is limited to the exchange of tools, additional external service is no longer needed. The system is energy self-sufficient, maintenance-free and adaptable to all common motor spindle geometries.

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Do you perhaps want a dog with a bang?

The search for suitable translation service providers can be frustrating. We are all familiar with assembly and operating instructions where translation errors can entertain one person and bring another to despair; if something much worse does not happen before that.

Why is it important to use translation companies?

Up until not so long ago translations were only assigned and delivered in paper format by post or fax. Individual translators sat in private at a typewriter, and then at a PC. Or companies employed translators or translation departments. Whether the translation direction ran German – foreign language or foreign language – German, the person assigning the translation often did not care. It was widely thought that a translator could translate in any direction, and furthermore dominated every area of expertise. Finally, what were special dictionaries for? At that time it was not clear what work in accordance with the mother-tongue principle was.
Nowadays the creation of a translation by a single translator is strongly developing into a translation industry. A quality high-value translation is now the result of the work of many specialists, and is essentially influenced by the degree of cooperation between those involved in the process chain development – technical documentation – translation – marketing. Above all, documentation and translation are constantly growing closer together.
Technical documentation is being more strongly integrated into the industrial production process, and the creation of manuals, operating and user manuals, information systems, catalogues etc. are automated gradually. Every new product development requires at least a partly up-to-date documentation. These documents must be translated into more and more languages at the same time. Therefore in many cases extensive multilingual document stores appear.
One implication of this is: maintaining versions and language variations becomes a problem that cannot be easily resolved due to lack of work time and material resources.
As an alternative, documentation management systems are implemented in the companies, and database-assisted terminology management software is being used more often in the translation firms to support the company.
The work is therefore only accomplished in cooperation between industrial and translation companies by using modern information technology.
This is determined by both sides, in that both constantly adjust themselves to the newest development in data handling and the telecommunication with one another, and always apply new tasks and competences in contact with technical tools.
The quality high-value translations themselves pass through several levels on their way to completion. The EN 15038, the European quality norm for translation service providers, includes the steps ‘translation work’, ‘edit and revision’ as well as ‘review’ for quality translations. In other words, this is a process of at least three stages. These extensive tasks can no longer be managed by a single translator, and not in cooperation with the contracting company. Thus only translation companies with comprehensive logistics are capable.

Therefore the modern translation company has to complete the following tasks:

• Constant observation of the market that has the relevant hardware and software for the service provider area
• Increased investment in PC-networking, regular buying of new technology and new programs
• Regular training of management and employees as well as enforcement of cohesive willingness for permanent further training – also through self-study
• Range of freelance employees not only with expert know-how, but also capable with technical equipment

All this is very demanding and not easy to carry out, and therefore has its price.

P.S. The ‘dog with a bang’ relates to a translation into German by an Italian native speaker. In a leaflet for an interesting holiday he wanted to point out the availability of trained hunting dogs to hunters.

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Prävention vor Infektion

In der Chirurgie stellen postoperative Wundinfektionen ein Risiko für Patienten, und damit eine kontinuierliche Herausforderung an die Hygiene und den Infektionsschutz, dar. Mit dem neuen sektorenübergreifenden Qualitätssicherungsverfahren (sQS) zur Vermeidung von postoperativen Wundinfektionen möchte der Gesetzgeber die Verbreitung nosokomialer Infektionen besser erfassen und Qualitätskriterien ableiten. Im Rahmen des sQS sind Kliniken bereits seit 1. Januar 2017 verpflichtet, jeden stationär aufgenommenen Patienten mit Verdacht auf eine postoperative Wundinfektion zu erfassen. Ambulant operierende Ärzte müssen seit 1. Januar 2018 rückwirkend für 2017 dokumentieren. „Mithilfe eines Fragebogens werden chirurgische Praxen über das bereits notwendige Hygienemanagement hinaus Daten erheben“, beschreibt Dr. Lutz Bader von der Kassenärztlichen Vereinigung der KV Bayerns die mit der sQS verbundenen aktuellen Aufgabe der Praxisinhaber auf dem Bundeskongress Chirurgie am 24. Februar.

„Postoperative Wundinfektionen werden bisher in Surveillancesystemen in Deutschland noch nicht ausreichend erfasst“, ergänzt Bader. Die Verweildauer der Patienten im Krankenhaus sei oft so kurz, dass sich Infektionen meist erst nach der Entlassung manifestieren. Mit dem neuen sQS-Verfahren werde es erstmals möglich, Patienten länger zu beobachten. Praxisinhaber erfassen postoperative Wundinfektionen nach ambulanten Operationen ohne Implantat über einen Beobachtungszeitraum von 30 Tagen und mit Implantat über einen Beobachtungszeitraum von 90 Tagen – jeweils mit und ohne MRSABesiedelung/ -Infektion. Bader empfiehlt den betroffenen Vertragsärzten, für die Befragung die Informations- und Schulungsangebote der Kassenärztlichen Vereinigungen (KVen) und der Kassenärztlichen Bundesvereinigung (KBV) zu verwenden.

Praxisbetreiber müssen in dem sQS-Fragebogen beispielsweise den Händedesinfektionsmittelverbrauch, perioperative Antibiotika-Prophylaxe, die präoperative Antiseptik und Standards zu Wundversorgung und Verbandwechsel erfassen. „Alles, was im sQS erhoben wird, dokumentieren Einrichtungsbetreiber längst an anderer Stelle“, meint Dr. Markus Schimmelpfennig aus Kassel. Der stellvertretende Leiter des Gesundheitsamtes der Region Kassel kritisiert die Vorgaben des sQS als Überregulierung. Ärzte müssten viel offensiver nach außen tragen, was sie seit vielen Jahren für die Qualitätssicherung leisten und wie viele Dinge sie bereits heute doppelt und dreifach dokumentieren. Fakt sei, dass die Gesundheitsämter und Regierungspräsidien sowie Bezirksregierungen seit Jahrzehnten verpflichtet seien nicht nur die Krankenhäuser sondern auch Institutionen im ambulanten Sektor, zum Beispiel auf der Grundlage des Infektionsschutzgesetzes (IfSG) und des Medizinproduktegesetzes (MPG), zu beraten, beaufsichtigen und zu überwachen. „Und zwar durch Vor-Ort-Begehung und nicht rückwirkend Fragebogen-basiert“ macht Schimmelpfennig deutlich.

Die beiden Experten rechnen mit postoperativen Wundinfektionen von ein bis zwei Prozent der Patienten nach einer stationären Operation. Nach einer ambulanten Operation gehen sie von einer deutlich niedrigeren Infektionsrate im Promille-Bereich aus.

Ausführliche Informationen zum sQS gibt es unter bbraun.de/ambulantesoperieren.

Quelle: Workshop B. Braun Melsungen AG „QS postoperative Wundinfektionen „Sektorenübergreifende Qualitätssicherung“, 24.02.2018, Bundeskongress Chirurgie, Nürnberg.

Hintergrund

Das Verfahren zur sektorenübergreifenden Qualitätssicherung „Vermeidung nosokomialer Infektionen – postoperative Wundinfektionen“ (sQS WI) basiert auf dem Sozialgesetzbuch V und einer Richtlinie des Gemeinsamen Bundesausschusses (GBA). Kliniken sind danach verpflichtet, jeden stationär aufgenommenen Patienten mit Verdacht auf eine postoperative Wundinfektion fallbezogen zu erfassen. Zusätzlich dokumentieren operierende Ärzte sowohl in Praxen als auch in Kliniken das Hygieneund Infektionsmanagement ihrer Einrichtung.

Krankenhäuser müssen bereits seit 1.1.2017 stationäre Aufnahmen von Patienten mit postoperativen Wundinfektionen melden, die, verknüpft mit den Sozialdaten der Patienten der GKV, eine Zurückverfolgbarkeit ermöglichen, wo und von wem der zugehörige operative Eingriff durchgeführt wurde. Die ambulanten Operateure müssen ab 1.1.2018, jeweils mit Bezug zum Vorjahr (!), also ab 2017, ihr Hygiene- und Infektionsmanagement der durchgeführten Operationen webbasiert an eine Datenannahmestelle übermitteln. Die Erprobungsphase endet 2022. Die Datenannahmestelle gibt die Daten an die sogenannte Vertrauensstelle weiter, von wo sie an das IQTIG gehen, wo die Daten jährlich in aggregierter Form veröffentlichen werden. Mit den Daten können Berichte bezogen auf den einzelnen Operateur ausgewertet, der im Falle einer unzureichenden Umsetzung der im Fragenkatalog erfassten Qualitätsstandards nicht nur kontaktieren („kollegialer Dialog“) wird, sondern ggf. auch mit Sanktionen zu rechnen hat. Ausgewertet werden die sogenannten Tracer-Eingriffe. Das handelt es sich um vordefinierte Eingriffe.

Von der sektorenübergreifenden Qualitätssicherung (sQS) sind stationär 3,3 Mio. Eingriffe, ambulant im Krankenhaus 300 000 Eingriffe und vertragsärztlicherseits 600 000 Eingriffe betroffen. Insgesamt müssen über 1 300 Krankenhäuser und 8 000 Ärzte die neuen Vorgaben umsetzen. 

Infektionen, die nach stationärer oder ambulanter Behandlung – also nosokomial – auftreten, gefährden die betroffenen Patienten. 25 Prozenti haben postoperative Wundinfektionen in Deutschland den größten Anteil an nosokomialen Infektionen. Nach aktuellen Daten des Robert Koch-Institutsii ist von mehr als 200 000 solcher Infektionen bei Krankenhauspatienten pro Jahr auszugehen.

i Behnke M et al.: Nosocomial infection and antibiotic use ‐ a second national prevalence study in Germany. Dtsch Arztebl Int 2013; 110(38): 627‐33. DOI: 10.3238/arztebl.2013.0627
ii Basisdaten der stationären Krankenhausversorgung in Deutschland – nosokomiale Infektionen, Robert Koch‐Institut, Epidemiologisches Bulletin Nr. 36 vom 13. September 2010, Mielke M et al.

 

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