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 |
| Â | Â | In which organizational unit is he integrated (member of the hospital board, staff position on the hospital board, integrated into the individual services, ...)? | Q2 |
| Â | Â | Is there... ... a written job description, ... a separate budget for CRM, ... | Q3 |
| Â | Resource allocation | Responsibilities; staff size | Q4-Q5 |
| Â | Professional background | Medicine, nursing professionals, business administration, etc | Q6 |
| Â | 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 |
| Â | Â | Annual operational objectives of CRM | Q12-Q13 |
| Â | Optimization potentials with regard to key CRM elements | We need... ...more continuing training in CRM, ...more standardized procedures, and so on | Q14 |
| Â | Current state of CRM | Implementation of the CRM process | Q15 |
| Â | Â | Questions about leadership, participation of staff and training | Q16 |
| Â | Â | Strengths and needs of CRM | Q17-Q18 |
| Â | 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 |
| Â | Communication and information | There are guidelines to ensure that patients are informed before treatment about possible risks. | Q24 |
| Â | Documentation | Medical records are managed electronically. | Q25 |
| Â | Learning and developing | The service's board of directors takes clinical risks into account when organizational changes are implemented. | Q26 |
| Â | Continuing education/training/advanced training | Staff receive advanced training in effective teamwork strategies. | Q27 |
| Â | Focal theme: Local Incident Reporting Systems | Standardized procedures are applied for the cause analysis of reported incidents. | Q28 |