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GOOD HOSPITAL PRACTICE

GOOD HOSPITAL PRACTICE

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The QM manual for the entire hospital

2.3.03 Create treatment pattern

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1 Purpose and objective

Compilation of the requirements and description of the procedure for establishing medical procedures and treatment patterns. Treatment patterns should be formally established to demonstrate that individual treatment is being provided as planned in order to improve communication and co-operation and to estimate the use of resources

2 Scope of application

Treatment processes are made up of several diagnostic, therapeutic, nursing, medical-technical and non-medical workflows (procedures). The procedures are put together (configured) appropriately for each patient according to their needs. Of course, no two treatments are exactly the same. Nevertheless, most follow familiar patterns. They are planned, the procedure follows fixed rules.
The procedures used in the treatment patterns are largely independent of the context or the diagnoses: an ECG is always written in the same way for different treatments, an endoscopy is the same for different findings. If we have standardised the procedures, we can configure many treatment patterns very individually without great effort. This procedural instruction describes how procedures should be described and how complex treatment patterns can be configured from them.
Not all procedures need to be documented in detail for the treatment patterns. Written documentation may be omitted if a procedure has been established for a long time, is generally accepted and well "standardised".
Firstly, those treatment procedures for which there are special reasons should be documented. Criteria can be
- High costs
- Paid according to flat rates per case
- Particularly fraught with risks and side effects
- Innovative process
The aim is to record approx. 80 % of work performance in treatment patterns. This is often even less than the 10 most frequent treatment occasions, if the time required is taken into account.

3 Description

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