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[Process-oriented quality management in the hospital]

Zeitschrift Fur Arztliche Fortbildung Und Qualitatssicherung

|May 13, 1998

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Implementing hospital quality management involves assessing infrastructure and medical performance. Systematic improvements in clinical procedures, though resource-intensive, yield significant mid-range benefits and integrate quality into the corporate culture.

Area of Science:

Healthcare Management
Hospital Administration
Quality Improvement

Context:

Focuses on quality management implementation in a midsize hospital across six medical disciplines.
Involves assessment of both infrastructure quality and medical performance using standardized audits.
Highlights the participation of all professional groups and departments in quality initiatives.

Purpose:

To describe the procedures and experiences of implementing a comprehensive quality management system.
To identify weaknesses in clinical care documentation, preoperative diagnosis, surgical coordination, and complication handling.
To detail interventions for improving surgical activity coordination and their subsequent impacts.

Summary:

Quality of infrastructure was assessed using checklists, and medical performance was evaluated through standardized numerical audits involving all staff.

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Deficiencies were identified by comparing quality indicators against target standards, with detailed examples provided for clinical documentation, preoperative diagnosis, surgical coordination, and complication management.

Problem-solving teams, including external experts, were formed with members from all involved professional groups and departments.

Impact:

Systematic improvement of clinical procedures is crucial for establishing continuous and integrated hospital quality management.
Investments in quality management are necessary but justified by demonstrable mid-range benefits.
Successful implementation fosters an integrated part of the corporate culture, enhancing overall hospital performance.