Table 2

Thematic overview of the content of the 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

In which organizational unit is he integrated (member of the hospital board, staff position on the hospital board, integrated into the individual services, ...)?

Q2

Is there... ... a written job description, ... a separate budget for CRM, ...

Q3

Resource allocation

Responsibilities; staff size

Q4-Q5

Professional background

Medicine, nursing professionals, business administration, etc

Q6

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

Annual operational objectives of CRM

Q12-Q13

Optimization potentials with regard to key CRM elements

We need... ...more continuing training in CRM, ...more standardized procedures, and so on

Q14

Current state of CRM

Implementation of the CRM process

Q15

Questions about leadership, participation of staff and training

Q16

Strengths and needs of CRM

Q17-Q18

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

Communication and information

There are guidelines to ensure that patients are informed before treatment about possible risks.

Q24

Documentation

Medical records are managed electronically.

Q25

Learning and developing

The service's board of directors takes clinical risks into account when organizational changes are implemented.

Q26

Continuing education/training/advanced training

Staff receive advanced training in effective teamwork strategies.

Q27

Focal theme: Local Incident Reporting Systems

Standardized procedures are applied for the cause analysis of reported incidents.

Q28


Briner et al. BMC Health Services Research 2010 10:337   doi:10.1186/1472-6963-10-337

Open Data