Dresden Teamwork Concept for Medical High Risk Organizations

DRESDEN TEAMWORK CONCEPT FOR MEDICAL HIGH RISK ORGANIZATIONS......Page 3
NOTICE TO THE READER......Page 6
CONTENTS......Page 7
PREFACE......Page 9
SUMMARY......Page 11
ENVIRONMENTAL CONSIDERATIONS......Page 12
GOALS AND STRUCTURE OF THE BOOK......Page 13
THE CHAIN OF PATIENT RISK......Page 14
TRANS-REGIONAL RESPONSIBILITIES OF THE UHD......Page 17
CONCLUSION......Page 19
REFERENCES......Page 20
STRATEGY WITHIN THE FRAMEWORK OF THE NEW G-DRG REIMBURSEMENT SYSTEM......Page 21
STRUCTURE FOLLOWS PROCESS FOLLOWS STRATEGY......Page 23
REFERENCES......Page 27
ABSTRACT......Page 29
MANAGEMENT BY OBJECTIVES – SYSTEMS IN PRACTICE......Page 30
The Corporate Objectives are Expressed as the Sum of the Individual Objectives of All Employees......Page 31
RETURNS ON THE INVESTMENT INTO PERFORMANCE MEASUREMENT SYSTEMS......Page 34
Mission of the Clinic for Anesthesia [26]......Page 36
PROCESS......Page 37
STRUCTURE......Page 39
MANAGEMENT BY OBJECTIVE TIED TO KEY FIGURES......Page 41
AVAILABILITY OF HARD AND SOFT KEY FIGURES......Page 42
STRATEGY-COMPLIANT BEHAVIOR AND BEHAVIOR TO BE LINKED TO INCENTIVES......Page 44
ABILITY OF KEY FIGURES TO SHOW STRATEGY-COMPLIANT BEHAVIOR - HARD KEY FIGURES......Page 45
BEHAVIOR THAT CANNOT BE PORTRAYED WITH A JUSTIFIABLE AMOUNT OF TIME AND EFFORT SPENT - SOFT KEY FIGURES......Page 47
AGREEMENTS ON OBJECTIVES – EVALUATION MATRIX FOR THE CLINIC FOR ANESTHESIA/ UHD......Page 48
INTERNAL CLINIC CONCEPTS TO BE IMPLEMENTED......Page 49
CONCLUSION......Page 50
REFERENCES......Page 51
INTRODUCTION......Page 55
TEAMWORK......Page 56
TEAM LEARNING PROCESSES: A ROAD TO SHARED MENTAL MODELS......Page 58
Interpersonal Context......Page 60
SOCIAL AND COGNITIVE FACTORS DRIVING TEAMWORK......Page 61
TEAM LEARNING AND CONFLICT......Page 63
STRESS AND ITS IMPACT ON TEAM-DECISION MAKING......Page 66
Time Pressure......Page 67
RESEARCH ON TIME PRESSURE, TASK COMPLEXITY AND TEAMS......Page 68
RESULTS AND DISCUSSION......Page 69
CONCLUSION......Page 71
REFERENCES......Page 72
HEMS IN GERMANY......Page 75
TEAM MEMBERS IN HEMS MISSIONS......Page 76
COMMON MISSION GOALS AND CONFLICTS OF INTEREST......Page 77
LEADERSHIP AND FOLLOWERSHIP IN RESCUE HELICOPTER MISSIONS......Page 80
DRESDEN CREW RESOURCE MANAGEMENT TRAINING CONCEPT......Page 81
REFERENCES......Page 84
ABSTRACT......Page 87
5.1 BENEFITS OF RISK MANAGEMENT IN HEALTHCARE ORGANIZATIONS......Page 88
5.2 CLINICAL RISK MANAGEMENT......Page 89
5.3 CRITICAL INCIDENT REPORTING SYSTEM......Page 90
5.3.1. Theoretical Basics......Page 91
5.3.2. Requirements for Implementing a Critical Incident Reporting System......Page 94
CONCLUSION......Page 95
REFERENCES......Page 96
INTRODUCTION......Page 99
CRITICAL INCIDENT DATA ACQUISITION......Page 100
NEAR- MISSES AND CRITICAL INCIDENTS REPORTED......Page 101
ACTIONS TAKEN FOR PREVENTION/REDUCTION OF CRITICAL EVENTS......Page 105
CRITICAL APPRAISAL OF THE LOCAL CIRS......Page 107
CONCLUSION......Page 108
REFERENCES......Page 109
ABSTRACT......Page 111
THE SIX SIGMA PHILOSOPHY......Page 112
DESIGN AND CONTENT OF SIX SIGMA......Page 113
IMPROVEMENT PROJECTS CONSIDERING THE DMAIC CYCLE......Page 114
ZERO- DEFECT QUALITY AS A REQUIREMENT IN MEDICAL HIGH-RISK AREAS......Page 116
HOSPITAL PORTRAIT, THE INITIAL SITUATION AND PROJECT TEAM......Page 117
PROJECT PROGRESS AND RESULTS......Page 118
CONCLUSION......Page 124
REFERENCES......Page 125
ABSTRACT......Page 127
INTRODUCTION......Page 128
METHODS......Page 129
RESULTS......Page 132
CONCLUSIONS......Page 134
REFERENCES......Page 135
ABSTRACT......Page 139
INTRODUCTION......Page 140
STRATEGY → PROCESS → ORGANIZATIONAL STRUCTURE → COMMUNICATION STRUCTURE......Page 141
INTEGRATION OF THE AVAILABLE COMMUNICATION TECHNOLOGY INTO THE COMMUNICATION PHILOSOPHY......Page 142
Common Communication Problems......Page 143
ESTABLISHMENT OF A COMMAND AND COMMUNICATION STRUCTURE FOR LARGE SCALE INCIDENTS......Page 144
German Incident Command System......Page 145
CHARACTERISTICS OF HIGH-RISK ORGANIZATIONS (HROS)......Page 146
REFERENCES......Page 147
PRELUDE......Page 151
MONDAY, 08.12.2002......Page 153
TUESDAY, 08.13.2002......Page 154
ON SITE LOGISTICS......Page 155
FRIDAY, 08.16.2002 (WATER LEVEL OF 9.13M AT 10:40 A.M.)......Page 158
SUNDAY, 08.18.2002 UNTIL TUESDAY, 08.20.2002......Page 160
EPILOGUE......Page 161
REFERENCES......Page 163
INDEX......Page 165