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GOOD HOSPITAL PRACTICE

GOOD HOSPITAL PRACTICE

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Occupational safety, hygiene, radiation protection, technical safety, pharmacy, transfusion medicine

2.3.03 Create treatment pattern

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1 Purpose and objective

Complex treatment processes are first analysed. The process is reorganised across the boundaries between the departments and including other areas (laboratory, X-ray, administration, kitchen) and thus improved. Particular attention is paid to the interface problems between the bed management departments and the admission areas as well as to the service shares of the functional areas.

  • Process analysis
  • Table of responsibilities,
  • Document flow,
  • Timeline.
  • Technique for creating work instructions
  • Layout for work instructions
  • Management of instructions

Similar to the operating instructions for devices, the treatment instructions are considered working aids and must be made available to all employees affected by them. They are not regulations in the sense of instructions. The degree to which they are binding must be defined and made comprehensible to employees.

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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