gms | German Medical Science

56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e. V. (DGNC)
3èmes journées françaises de Neurochirurgie (SFNC)

Deutsche Gesellschaft für Neurochirurgie e. V.
Société Française de Neurochirurgie

07. bis 11.05.2005, Strasbourg

Proactive clinical risk management in neurosurgery – preliminary experience with employee surveys and an incident reporting system

Proaktives Risikomanagement in der Neurochirurgie – vorläufige Erfahrungen mit Mitarbeiterumfragen und Fehlermeldesystem

Meeting Abstract

Suche in Medline nach

  • corresponding author S. B. Sobottka - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden
  • G. Schackert - Klinik und Poliklinik für Neurochirurgie, Universitätsklinikum Carl Gustav Carus, Technische Universität Dresden

Deutsche Gesellschaft für Neurochirurgie. Société Française de Neurochirurgie. 56. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie e.V. (DGNC), 3èmes journées françaises de Neurochirurgie (SFNC). Strasbourg, 07.-11.05.2005. Düsseldorf, Köln: German Medical Science; 2005. Doc11.05.-14.04

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dgnc2005/05dgnc0252.shtml

Veröffentlicht: 4. Mai 2005

© 2005 Sobottka et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

Population based research suggests that approximately 40.000 patients suffer from preventable medical treatment errors in Germany each year. With the aim of improving the quality of treatment management of neurosurgical patients an employee questionnaire and an incident reporting system have been established to identify latent risks in the medical treatment process.

Methods

Using a process analysis approach an employee questionnaire was designed to estimate the occurrence probability of various medical errors in the Department of Neurosurgery and their presumable negative effects on the four perspectives of the balanced score card (financial results, customer satisfaction, internal service process, learning/innovation and employee satisfaction). In addition an incident reporting system for adverse events and medical errors has been initiated to continuously improve treatment safety.

Results

Based on the analysis of the employee questionnaire, certain latent risks in the medical treatment process were identified and eliminated/ diminished. According to the preliminary experience with the incident reporting system, the designed record sheet became well accepted beyond the employees of our clinic. A local risk management group (two surgeons, two nurses, one medical engineer) started to evaluate and analyse recorded medical errors and adverse events. Data are communicated and discussed with the medical director and the clinic staff on a monthly basis to continuously improve the treatment quality.

Conclusions

A proactive risk management helps to reduce patient harm and dissatisfaction, prevents poor use of staff, time and money, protects from liability and litigation and improves morale by making the organisation more safety conscious.