Prozessmanagement und Controlling in der Diagnostischen Radiologie im Krankenhaus

Abstract

Systematic process management and efficient quality control is rapidly gaining importance in our healthcare system. What does this mean for diagnostic radiology departments? To improve efficiency, quality and productivity the workflow within the department of diagnostic and interventional radiology at the University Hospital of Essen were restructured over the last two years. Furthermore, a controlling system was established. One of the pursued aims was to create a quality management system as a basis for the subsequent certification according to the ISO EN 9001:2000 norm. Central to the success of the workflow reorganisation was the training of selected members of the department's staff in process and quality management theory. Thereafter, a dedicated working group was created to prepare the reorganisation and the subsequent ISO certification with the support of a consulting partner. To assure a smooth implementation of the restructured workflow and create acceptance for the required ISO-9001 documentation, the entire staff was familiarized with the basic ideas of process- and quality-management in several training sessions. This manuscript summarizes the basic concepts of process and quality management as they were taught to our staff. A direct relationship towards diagnostic radiology is maintained throughout the text.

Qualitätsmanagement nach DIN ISO 9001 an einer radiologischen Universitätsklinik: Messbare Veränderungen der universitären Kennzahlen nach der Zertifizierung ?

“…Results: The evaluation of teaching performance obtained by questionnaire among the students of the radiology course showed a steady increase in satisfaction (mean value 2003: 2.7; 2007: 3. 9). In the field of research an increase in scientific output was achieved based on the number of an internal publication score (2002: 99 points; 2006: 509).…”

“…Hierbei ist sicherlich ein wichtiger Aspekt, dass nach Etablierung eines QM-Systems zunächst die Kennzahlen im Ist-Zustand festgelegt werden, um eine Veränderung im zeitlichen Verlauf zu erfassen und Erfolg bzw. Misserfolg der eingeleiteten Maßnahmen festlegen zu kön-nen [9]. Im Mittelpunkt dieser retrospektiven Studie stehen die Kennzahlen zur Lehre und Forschungstätigkeit sowie Fort-und Weiterbildung, welche an einer universitären Einrichtung einen wesentlichen Anteil der täglichen Arbeit und Profilierung ausmachen.…”

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“…Diese Listen werden oft täglich neu erstellt oder über einige Tage weitergeführt. Gerade bei den mittlerweile sehr kurzen Liegedauern im Krankenhaus führt dies zu viel durchgestrichenem Text 1 , 2 .…”

Supporting the Systematic Assessment of Clinical Processes: the MedFlow Method

“…In ordertomeasure andimprovethe quality of clinical processes,c omprehensive andsystematicassessment methods are needed (in accordancet oD eming's Plan-Do-Check-Act cycle [5]). They also help to monitor the processes to determine the degree of improvement [6]( in accordance with the concepto fB usinessP rocess Reengineering, BPR [7]).…”