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Table 2 Thematic overview of the content of the monitoring instrument

From: Assessing hospitals' clinical risk management: Development of a monitoring instrument

Section Themes Examples for item content: Instrument
Section 1: Implementation and organizational integration of CRM Organizational integration Is there a designated person responsible for the central coordination of CRM activities in your hospital? Q1
   In which organizational unit is he integrated (member of the hospital board, staff position on the hospital board, integrated into the individual services, ...)? Q2
   Is there... ... a written job description, ... a separate budget for CRM, ... Q3
  Resource allocation Responsibilities; staff size Q4-Q5
  Professional background Medicine, nursing professionals, business administration, etc Q6
  Environmental factors and constraints Political or legal frameworks Q7-Q8
Section 2: Strategic objectives and operational implementation of CRM Strategic and operational objectives Strategic objectives of the hospital, and especially of CRM Q9-Q11
   Annual operational objectives of CRM Q12-Q13
  Optimization potentials with regard to key CRM elements We need... ...more continuing training in CRM, ...more standardized procedures, and so on Q14
  Current state of CRM Implementation of the CRM process Q15
   Questions about leadership, participation of staff and training Q16
   Strengths and needs of CRM Q17-Q18
  Focal theme: Incident reporting system Distribution, implementation and character of the system Q19-21
Section 3: Overview of CRM in different services (Q22: number of services) CRM Process Service-internal tasks, competences and responsibilities in CRM are clearly defined. Q23
  Communication and information There are guidelines to ensure that patients are informed before treatment about possible risks. Q24
  Documentation Medical records are managed electronically. Q25
  Learning and developing The service's board of directors takes clinical risks into account when organizational changes are implemented. Q26
  Continuing education/training/advanced training Staff receive advanced training in effective teamwork strategies. Q27
  Focal theme: Local Incident Reporting Systems Standardized procedures are applied for the cause analysis of reported incidents. Q28