A5045410899- Medical Malpractice and Liability Issues
- Healthcare Quality and Management
- Patient Safety and Medication Errors
- Occupational Health and Safety Research
- Clinical practice guidelines implementation
- Health Systems, Economic Evaluations, Quality of Life
- Health and Medical Studies
- Patient Satisfaction in Healthcare
- Workplace Health and Well-being
- Healthcare professionals’ stress and burnout
- Electronic Health Records Systems
- Innovations in Medical Education
- Primary Care and Health Outcomes
- Breastfeeding Practices and Influences
- Healthcare Policy and Management
- Infant Development and Preterm Care
- Medical and Health Sciences Research
- Interprofessional Education and Collaboration
- Simulation-Based Education in Healthcare
- Patient-Provider Communication in Healthcare
- Health Literacy and Information Accessibility
- Organizational Strategy and Culture
- Ecology, Conservation, and Geographical Studies
- Families in Therapy and Culture
- Musculoskeletal pain and rehabilitation
University of Cologne
2008-2025
University Hospital Cologne
2021-2025
University of Bonn
2024
University Hospital Bonn
2016-2023
Berufsverband der Frauenärzte
2023
National Patient Safety Foundation
2019
Institute for Sociology of the Slovak Academy of Sciences
2014
CBS International Business School
2014
Pfaff Industriemaschinen (Germany)
2012
Promoting patient and occupational safety are two key challenges for hospitals. When aiming to improve these outcomes synergistically, psychosocial working conditions, leadership by hospital management supervisors, perceptions of climate have be considered. Recent studies shown that topics interrelated form a critical foundation promoting in So far, mainly been studied independently from each other. The present study investigated staffs' four different topics: (1) (2) leadership, (3)...
To investigate the relationship between ISO 9001 certification, healthcare accreditation and quality management in European hospitals. A mixed method multi-level cross-sectional design seven countries. External teams assessed clinical services on use of systems, illustrated by four pathways. Seventy-three acute care hospitals with a total 291 managing myocardial infarction (AMI), hip fracture, stroke obstetric deliveries, Czech Republic, France, Germany, Poland, Portugal, Spain Turkey. Four...
This paper provides an overview of the DUQuE (Deepening our Understanding Quality Improvement in Europe) project, first study across multiple countries European Union (EU) to assess relationships between quality management and patient outcomes at EU level. The describes conceptual framework methods applied, highlighting novel features this study.DUQuE was designed as a multi-level cross-sectional with data collection hospital, pathway, professional level eight countries.We aimed collect for...
This study aimed to investigate the associations of quality management systems with teamwork and safety climate, describe compare differences in perceptions climate among clinical leaders frontline clinicians. We used a multi-method, cross-sectional approach collect survey data perceived climate. Our analyses included descriptive multilevel regression methods. Data on implementation system from seven European countries were evaluated including patient culture surveys 3622 4903 Perceived...
To better understand associations between organizational culture (OC), management structure (OS) and quality in hospitals. A multi-method, multi-level, cross-sectional observational study. As part of the DUQuE project (Deepening our Understanding Quality improvement Europe), a random sample 188 hospitals 7 countries (France, Poland, Turkey, Portugal, Spain, Germany Czech Republic) participated comprehensive questionnaire survey one-day on-site surveyor audit. Respondents for this study (n =...
From a management perspective, it is necessary to examine how hospital's top assess the patient safety culture in their organisation. This study examines whether Hospital Survey on Patient Safety Culture for hospital (HSOPS_M) has same psychometric properties as HSOPS employees does. In 2008, questionnaire survey including HSOPS_M was conducted with 1,224 medical directors from German hospitals. When assessing properties, we performed confirmatory factor analysis (CFA). Additionally, proved...
The objective of this study was to describe the involvement patients or their representatives in quality management (QM) functions and assess associations between levels implementation patient-centred care strategies.A cross-sectional, multilevelthat surveyed managers department heads data from an organizational audit.Randomly selected hospitals (n = 74) seven European countries (The Czech Republic, France, Germany, Poland, Portugal, Spain Turkey).Hospital clinical departments 262) charge...
Background Inter-professional teamwork is a prominent factor in quality of care and may lead to improved patient safety. Although team members’ points view are highly relevant when trying improve inpatient procedures, there lack systematic assessment their perceptions. Therefore, study aims were explore inter-professional teamwork, safety-related behavior, safety German hospitals from point view. Furthermore, we wanted examine the association between behavior as well Methods We used...
Abstract Background Many hospitals seek to increase patient safety through interprofessional team-trainings. Accordingly, these trainings aim strengthen important key aspects such as culture and communication. This study was designed investigate if an team-training, administered a relatively small group of nurses physicians would promote change in healthcare professionals’ perceptions on communication practices throughout the hospital. We further sought understand which foster transfer...
BackgroundStrategic leadership is an important organizational capability and essential for quality improvement in hospital settings. Furthermore, the of depends crucially on a common set shared values mutual trust between management board members. According to concept social capital, these are requirements successful cooperation coordination within groups. ObjectivesWe assume that capital boards factor development effective systems overseeing health care quality. We hypothesized degree...
To assess whether there is a relationship between having quality as an item on the board's agenda, perceived external pressure (PEP) and implementation of management in European hospitals.A quantitative, mixed method, cross-sectional study seven countries 2011 surveying CEOs managers data from onsite audits.One hundred fifty-five 155 managers.One randomly selected acute care hospitals (Czech Republic, France, Germany, Poland, Portugal, Spain Turkey). Main outcome measure(s) Three constructs...
The aim of this study was to develop and validate an index assess the implementation quality management systems (QMSs) in European countries. Questionnaire development facilitated through expert opinion, literature review earlier empirical research. A cross-sectional online survey utilizing questionnaire undertaken between May 2011 February 2012. We used psychometric methods explore factor structure, reliability validity instrument. As part Deepening our Understanding Quality improvement...
To study the psychometric characteristics of German version Hospital Survey on Patient Safety Culture and to compare its dimensionality other language versions in order understand instrument's potential for cross-national studies.Cross-sectional multicentre establish properties survey instrument.73 units from 37 departments two university hospitals.Clinical personnel (n=995 responses, response rate 39.6%).Psychometric (eg, model fit, internal consistency, construct validity) instrument...
Background: In the healthcare sector, a comprehensive safety culture includes both patient care-related and occupational aspects. recent years, studies have demonstrated diverse relationships between aspects of psychosocial working conditions, occupational, culture. The aim this study was to consider test relevant predictors for staff’s perceptions cultures in hospitals whether there are shared predictors. From two German university hospitals, 381 physicians 567 nurses completed...
The 11-item Patients' Perception of Safety Culture Scale (PaPSC) measures patients' perceptions the safety culture within healthcare organizations. While patients can respond to these items, factors such as limited knowledge, unclear roles and insufficient information may influence their assessments. Despite previous research on PaPSC, no qualitative validation has been conducted. This study addresses this gap by exploring perspectives culture. A qualitative, exploratory approach was...
The assessment of integral quality management (QM) in a hospital requires measurement and monitoring from different perspectives at various levels care delivery. Within the DUQuE project (Deepening our Understanding Quality improvement Europe), seven measures for QM were developed. This study investigates relationships between measures.It is multi-level, cross-sectional, mixed-method study.As part project, we invited random sample 74 hospitals 7 countries. managers these main respondents....
In recent years, several instruments for measuring patient safety culture (PSC) have been developed and implemented. Correct interpretation of survey findings is crucial understanding PSC locally, comparisons across settings or time, as well planning effective interventions. We aimed to evaluate the influence gender, profession, managerial function on perceptions interplay between various dimensions PSC.We used German Swiss data frontline physicians nurses (n = 1786). Data analysis was...
Effective coordination among all members of hospital staff has been shown to be associated with better quality care. The literature indicates that social capital, a form organizational resource, may facilitate the task coordination. However, best our knowledge, no study yet examined this link within healthcare setting. Thus, objective was analyze relationship between capital and staff, as perceived by medical director being key informant hospital. In 2008, we surveyed directors 1224 German...
To define a checklist that can be used to assess the performance of department and evaluate implementation quality management (QM) activities across departments or pathways in acute care hospitals.We developed tested for assessment QM at level cross-sectional study using on-site visits by trained external auditors.A sample 292 hospital 74 hospitals seven European countries. In every hospital, four conditions: myocardial infarction (AMI), stroke, hip fracture deliveries participated.Four...
This paper aimed to evaluate how transformational leadership behaviour is associated with patient safety culture in a hospital context. In line findings from other high-hazard industries, we predicted that hospitals, executives' perceived emphasis on would positively influence the frequency of events reported by staff front service provision. Our hypothesis was confirmed fitting multivariable regression model sample 507 medical directors German acute-care hospitals. Results revealed...
In Brief Context: The German hospital market has been undergoing major changes in recent years. Success this new is determined by a multitude of factors. One the quality social relationships between staff and presence shared values rules. This factor can be considered an organization's “social capital.” Objective: study investigates relationship capital leadership style hospitals using written survey medical directors. Design Setting: 2008, cross-sectional representative was conducted with...
Objective The medication process requires clear and transparent documentation in patient records. Incomplete or incorrect may contribute to inappropriate clinical decision-making adverse events. To comprehensively assess the quality of in-hospital documentation, we developed a retrospective chart review (RCR) instrument. We report on development process, feasibility instrument describe our application sample Design Cross-sectional study using an RCR evaluate paper-based, non-standardised...