{"id":10664,"date":"2024-12-11T14:24:45","date_gmt":"2024-12-11T13:24:45","guid":{"rendered":"https:\/\/extali.eu\/docs\/3-krankenhausleitung\/3-7-qm-koordination\/3-7-03-verfahrensanweisungen\/"},"modified":"2025-08-07T11:44:02","modified_gmt":"2025-08-07T09:44:02","slug":"3-7-03-procedural-instructions","status":"publish","type":"docs","link":"https:\/\/gutehospitalpraxis.de\/en\/handbuch\/3-krankenhausleitung\/3-7-qm-koordination\/3-7-03-verfahrensanweisungen\/","title":{"rendered":"3.7.03 Procedural instructions"},"content":{"rendered":"<h2 class=\"wp-block-heading\" id=\"ziel_und_zweck\">Goal and purpose<\/h2>\n\n\n\n<p>Instructions on how to draft procedural instructions for the hospital's QM manual. Explanation of the basic structure of the procedural instructions and the formal design Presentation of responsibilities so that the competences and tasks involved in the creation, review and approval of procedural instructions can be reliably recognised.<\/p>\n\n\n\n<p>The management has the responsible organisational units draw up general procedural instructions for processes that apply equally to all departments. This avoids multiple development and regulation, creates clarity about the requirements and confidence in the fulfilment of the specifications. The procedural instructions define the framework within which the departments can make specific regulations (subsidiarity principle). Some procedural instructions require no further specification by the departments. Others are so open that the content of the procedure can only be determined by the departments.<\/p>\n\n\n\n<p>The management fulfils its organisational duties with procedural instructions. The management does not thereby create new law. VAs take legal regulations into account and implement them for the hospital - but they do not release the hospital from the obligation to comply with laws or regulations. In this respect, VAs are comparable to instructions for use, which are intended to guide the operation of equipment. Handling is made easier: if you proceed as instructed, you can be confident that you will not make a grossly negligent mistake.<\/p>\n\n\n\n<p>Where consequences under employment law must be observed, reference is made to this. Service instructions are to be enforced by the employer and have a different legal relevance.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"anwendung\">Application<\/h2>\n\n\n\n<p>Procedural instructions to be included in the hospital's quality assurance manual.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"beschreibung_des_ablaufes\">Description of the process<\/h2>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-37068c09-db75-4d89-b10a-db33d4df0f3e\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_00_qm_verfahrensanweisung_verfassen_04.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">|3.7.03 <\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_00_qm_verfahrensanweisung_verfassen_04.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-37068c09-db75-4d89-b10a-db33d4df0f3e\">Download<\/a><\/div>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"anlagen\">Attachments<\/h3>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-063fbc88-3e53-46d7-bc4b-5d642e594a9b\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_01_qm_verfahrensanweisung_formatvorlage_04.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Style sheet for VA<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_01_qm_verfahrensanweisung_formatvorlage_04.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-063fbc88-3e53-46d7-bc4b-5d642e594a9b\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-e46e61ef-b390-49cc-9952-ab92d6e46b63\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_02_qm_verfahrensanweisung_anlage_formatvorlage_04.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Format template for attachment to the VA<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_02_qm_verfahrensanweisung_anlage_formatvorlage_04.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-e46e61ef-b390-49cc-9952-ab92d6e46b63\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-5d3dd322-6d3e-4ef2-9626-5045fc78ac06\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_03_qm_verfahrensanweisung_ablaufdiagramm_04.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Flowchart Process instructions, example of a flowchart<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_03_qm_verfahrensanweisung_ablaufdiagramm_04.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-5d3dd322-6d3e-4ef2-9626-5045fc78ac06\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-0f04e722-d898-48c9-85cf-f51b5599097d\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_04_qm_verfahrensanweisung_fischgraetdiagramm_03.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Example of a \"fishbone diagram\"<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_04_qm_verfahrensanweisung_fischgraetdiagramm_03.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-0f04e722-d898-48c9-85cf-f51b5599097d\">Download<\/a><\/div>\n\n\n\n<div class=\"wp-block-file\"><a id=\"wp-block-file--media-dec88282-2a24-4ccc-bb73-12391f1e12db\" href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_05_qm_verfahrensanweisung_checkliste_04.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Checklist before submitting the VA<\/a><a href=\"https:\/\/gutehospitalpraxis.de\/wp-content\/uploads\/2024\/12\/3.7.03_05_qm_verfahrensanweisung_checkliste_04.pdf\" class=\"wp-block-file__button wp-element-button\" download aria-describedby=\"wp-block-file--media-dec88282-2a24-4ccc-bb73-12391f1e12db\">Download<\/a><\/div>\n\n\n\n<p><\/p>","protected":false},"excerpt":{"rendered":"<p>Ziel und Zweck Anleitung, wie Verfahrensanweisungen f\u00fcr das QM-Handbuch des Krankenhauses abzufassen sind. Erl\u00e4uterung des grunds\u00e4tzlichen Aufbaus der Verfahrensanweisungen und der formalen Gestaltung Darstellung von Zust\u00e4ndigkeiten, damit die Kompetenzen und Aufgaben bei der Erstellung, Pr\u00fcfung und Freigabe von Verfahrensanweisungen sicher erkannt werden k\u00f6nnen. Durch die zust\u00e4ndigen Organisationseinheiten l\u00e4sst die Leitung allgemeine Verfahrensanweisungen f\u00fcr Abl\u00e4ufe erarbeiten, [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":10648,"menu_order":151,"comment_status":"open","ping_status":"closed","template":"","doc_tag":[],"doc_badge":[],"class_list":["post-10664","docs","type-docs","status-publish","hentry","no-post-thumbnail"],"acf":[],"author_avatar":"https:\/\/secure.gravatar.com\/avatar\/c6b2616140d9fcd6a1c5d6d2ebbf43422308c9322c032ef03f88ec3235855dcf?s=96&d=mm&r=g","author_name":"admin","_links":{"self":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10664","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs"}],"about":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/types\/docs"}],"author":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/comments?post=10664"}],"version-history":[{"count":1,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10664\/revisions"}],"predecessor-version":[{"id":14815,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10664\/revisions\/14815"}],"up":[{"embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/docs\/10648"}],"wp:attachment":[{"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/media?parent=10664"}],"wp:term":[{"taxonomy":"doc_tag","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_tag?post=10664"},{"taxonomy":"doc_badge","embeddable":true,"href":"https:\/\/gutehospitalpraxis.de\/en\/wp-json\/wp\/v2\/doc_badge?post=10664"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}