[Implementation of a SharePoint-based quality-assured document control system to achieve optimized patient safety]

Area of Science:

• Healthcare Informatics
• Clinical Documentation Improvement
• Patient Safety Management

Background:

• Ambiguous patient case facts pose significant risks.
• Clear documentation is crucial for treatment safety.
• A systematic approach is needed to achieve documentation unambiguity.

Purpose of the Study:

• To systematically enhance clarity and reduce risks in clinical documentation.
• To improve patient safety through standardized information management.
• To establish a controlled document system within a clinical department.

Main Methods:

• Conversion of clinical documents from uncontrolled IT storage to a controlled SharePoint system.
• Development of a systematization method aligned with departmental organizational realities.
• Implementation of a centralized, controlled document management platform.

Main Results:

• All clinically relevant documents are now exclusively in a controlled SharePoint format.
• Universal access to controlled documents was successfully provided to all employees.
• Document modifications are now systematically logged, ensuring version control and auditability.

Conclusions:

• The project significantly contributes to patient safety and clinical culture.
• The implemented system serves as a model for other departments seeking improved documentation.
• This initiative offers interdisciplinary benefits for healthcare information management.