Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen最新文献

{"title":"Einflussfaktoren auf die eigene Anwendung der Sepsis-Kompetenz und ihre Förderung bei Patientinnen und Patienten: Ergebnisse einer Mixed-Methods-Studie mit Gesundheitsfachpersonen","authors":"","doi":"10.1016/j.zefq.2024.04.006","DOIUrl":"10.1016/j.zefq.2024.04.006","url":null,"abstract":"<div><h3>Background</h3><p>Sepsis is a life-threatening and relatively common emergency which is often recognized too late or not at all. Therefore, the “SepsisWissen” (SepsisKnowledge) project aimed to bring about changes in health care professionals’ behavior in the area of sepsis prevention and early detection. It addressed the health care professionals themselves (e. g., their own vaccination, hygiene and early detection behavior) and their patient counseling behavior. To promote this behavior, the SepsisWissen campaign included offers such as trainings or print products. The subsequent core question is: From the health professionals’ perspective, which barriers and facilitators affect their own application of sepsis competence and their promotion of their patients’ sepsis competence?</p></div><div><h3>Methods</h3><p>This paper was based on a cross-sectional mixed-methods study part of “SepsisWissen” with</p><ul><li><span>a)</span><span><p>semi-structured interviews with 17 providers and</p></span></li><li><span>b)</span><span><p>a quantitative survey among 135 providers.</p></span></li></ul>Part a) was analyzed using qualitative oriented content analysis based on Mayring, part b) was analyzed descriptively.<p>The interviewees included physicians, nurses, pharmacists, assistants to physicians and pharmacists and, additionally, one paramedic in the quantitative sample. Some of them had attended “SepsisWissen” trainings.</p></div><div><h3>Results</h3><p>The qualitative data analysis identified 41 conducive and hindering factors, which can be assigned to the following eight major topics: 1) syndrome sepsis; 2) predisposing factors for health professionals' own acquisition and application of sepsis competence; 3) enabling factors for health professionals themselves; 4) behavior and lifestyle of patients; 5) reinforcing factors for patients; 6) public health education; 7) political, administrative, and organizational context; 8) environmental factors. In the qualitative and quantitative surveys, the suggestion to improve the sepsis competence of the population and to reduce misinformation, respectively, through public education (e.<!--> <!-->g., via schools or the media).</p></div><div><h3>Discussion</h3><p>Sepsis training for health professionals was considered as a facilitating factor for taking potential sepsis symptoms and patients’ respective statements more seriously. Future training formats should convey more explicitly how health professionals can better communicate their own sepsis knowledge to their patients. They request instruments to support their communication, such as checklists for lay persons. According to the interviews, health workers themselves need recurring external reminders for the topic of sepsis. Organizational and political conditions should be improved. From the health professionals’ point of view, it is essential to offer better reimbursement for prevention and counseling services and to allocate adequate time resource","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 58-69"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000850/pdfft?md5=649509b84b7ee2cc251910f66ebca37e&pid=1-s2.0-S1865921724000850-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141248922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Liste der Affiliierten Institute und Fachgesellschaften / List of Affiliations","authors":"","doi":"10.1016/S1865-9217(24)00141-7","DOIUrl":"10.1016/S1865-9217(24)00141-7","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Page OBC"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001417/pdfft?md5=2859dbce1b937699dab548cdd5878122&pid=1-s2.0-S1865921724001417-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dokumentationsqualität der Medikation in Entlassbriefen – eine Bestandsaufnahme nach Einführung des Rahmenvertrags Entlassmanagement","authors":"","doi":"10.1016/j.zefq.2024.05.008","DOIUrl":"10.1016/j.zefq.2024.05.008","url":null,"abstract":"<div><h3>Introduction</h3><p>Discharge from hospital is a risk to drug continuity and medication safety. In Germany, new legal requirements concerning the management of patient discharge from the hospital came into force in 2017. They set minimum requirements for the documentation of medications in patient discharge summaries, which are the primary means of communication at transitions of care. Six years later, data on their practical implementation in routine care are lacking.</p></div><div><h3>Methods</h3><p>Within the scope of an explorative retrospective observational study, the minimum requirements were operationalized and a second set of assessment criteria was derived from the recommendation “Good Prescribing Practice in Drug Therapy” published by the Aktionsbündnis Patientensicherheit e.V. as a comparative quality standard. A sample of discharge summaries was drawn from routine care at the University Hospital Heidelberg and assessed according to their fulfilment of the criteria sets. In addition, the potential influence of certain context factors (e. g., involvement of clinical pharmacists or software usage) was evaluated.</p></div><div><h3>Results</h3><p>In total, 11 quality criteria were derived from the minimum requirements. According to the eligibility criteria (i. e., three or more discharge medications) 352 discharge summaries (42 wards; issued in May–July 2021), containing in total 3,051 medications, were included. The practical implementation of the minimum requirements for documenting medications in patient discharge summaries differed considerably depending on the criterion and defined context factors. Core elements (i. e., drug name, strength, and dosage at discharge) were fulfilled in 82.8 %, while further minimum requirements were rarely met or completely lacking (e. g., explanations for special pharmaceutical forms). Involvement of clinical pharmacists and usage of software were shown to be a facilitator of documentation quality, while on-demand medication (compared to long-term medication) as well as newly prescribed medication (compared to home medication or medication changed during hospitalisation) showed poorer documentation quality. In addition, the documentation quality seemed to depend on the department and the day of discharge.</p></div><div><h3>Conclusion</h3><p>To date, the wording of the German legal requirements allows for different interpretations without considering the respective clinical setting and the medication actually prescribed. For future clarification of the requirements, implications of the wording for the clinical setting should be considered.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 1-13"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S186592172400093X/pdfft?md5=593722b6f85a2f5f5e49e6bacfb6cbdc&pid=1-s2.0-S186592172400093X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141451915","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Expert*innensichtweisen zum Bedarf und zu den Potenzialen (indikationsübergreifender) mobiler Rehabilitation in der Versorgung jüngerer Menschen mit komplexen gesundheitlichen Beeinträchtigungen: eine qualitative Studie","authors":"Christoph Armbruster,&nbsp;Nicole Wimmesberger,&nbsp;Erik Farin-Glattacker","doi":"10.1016/j.zefq.2024.06.004","DOIUrl":"10.1016/j.zefq.2024.06.004","url":null,"abstract":"<div><h3>Introduction</h3><p>In the German rehabilitation system, gaps in care exist that particularly affect people with complex impairments under 60 years of age. Home-based rehabilitation, an outreach form of outpatient rehabilitation, could bridge this gap by providing access to rehabilitation for this group of patients. Corresponding facilities so far barely exist in Germany. In view of the likely complexity and the associated problems of this group of people, needs-based care may also require a cross-indication approach in order to adequately address rehabilitation needs across different organ systems. The aim of this study is to assess 1) the general need for home-based rehabilitation and associated potentials, 2) attitudes towards a cross-indication approach, and 3) indication and allocation criteria for this approach from an expert perspective.</p></div><div><h3>Methods</h3><p>Data was collected from 08/2022 to 10/2022 through semi-structured individual telephone interviews with experts in the field of rehabilitation. Data were analyzed using qualitative content analysis according to Kuckartz and Rädiker.</p></div><div><h3>Results</h3><p>A total of n = 22 experts were interviewed. The experts see a high need for home-based rehabilitation for people with complex health impairments under the age of 60 in order to counteract existing care gaps within current rehabilitative offers. The potentials offered by home-based rehabilitation include, amongst others, flexibility, participation orientation and involvement of the social environment (e.<!--> <!-->g., of relatives). A cross-indication approach is considered relevant by the majority of the experts, especially in order to meet more complex needs (e.<!--> <!-->g., in the case of multimorbidity) in a holistic and needs-based manner.</p></div><div><h3>Conclusion</h3><p>The results demonstrate the relevance of this topic and the necessity of expanding (cross-indication) home-based rehabilitation in Germany. According to the experts, (cross-indication) home-based rehabilitation can help to ensure the participation of a group of patients with complex and severe impairments under the age of 60.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 70-78"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001168/pdfft?md5=3be63015eda8cebca871260ce2252fe5&pid=1-s2.0-S1865921724001168-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141724734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Herausgeberkollegium / Editorial Board","authors":"","doi":"10.1016/S1865-9217(24)00138-7","DOIUrl":"10.1016/S1865-9217(24)00138-7","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Page iii"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001387/pdfft?md5=b7ecfc268b2ec807d2b2f75d5cd0ce1c&pid=1-s2.0-S1865921724001387-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141998161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimale Versorgung am Lebensende aus der Angehörigenperspektive – eine qualitative Interviewstudie in zwei niedersächsischen Landkreisen","authors":"Tanja Schleef ,&nbsp;Sophie Schrader ,&nbsp;Katharina van Baal,&nbsp;Nils Schneider,&nbsp;Kambiz Afshar,&nbsp;Gabriele Müller-Mundt","doi":"10.1016/j.zefq.2024.06.005","DOIUrl":"10.1016/j.zefq.2024.06.005","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;p&gt;Established as health insurance benefit in 2007, Specialized Palliative Home Care (SPHC) has been continuously expanded. At the same time, health policy initiatives intended to promote general outpatient palliative care. In comparison to urban centers, the development of palliative care networks in rural areas appears to be more difficult. In addition, there is an increasing shortage of family doctors in primary care. Family members play a key role in the home care for seriously ill patients. This paper therefore investigated the experiences of relatives with the end-of-life (EoL) care for family members with life-limiting chronic diseases in more rural regions. The aim was to determine aspects that, from the relatives’ point of view, are essential for optimizing EoL care.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Methods&lt;/h3&gt;&lt;p&gt;Qualitative after-death interviews with relatives in two districts were conducted in the first six months of 2019, who were recruited by the deceased patients’ family doctor. Relatives (age ≥&lt;!--&gt; &lt;!--&gt;18 years) of patients who died in 2018 were included. The interviews were digitally recorded, transcribed and analyzed using content analysis.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;p&gt;In the first half of 2019, 28 after-death interviews were conducted with 30 relatives (77% female, age: 32 to 83 years) from rural (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;8) and urban communities (n&lt;!--&gt; &lt;!--&gt;=&lt;!--&gt; &lt;!--&gt;22) in two Lower Saxonian counties. They were mostly in a partnership or parent-child relationship with the deceased person.&lt;/p&gt;&lt;p&gt;The central categories and needs that emerged in the analysis were: (1) communication about dying and death, (2) information and enabling, (3) support of and relief for relatives, and (4) continuity and cooperation of the services involved in EoL care. The results underline the fact that family caregivers in particular find open communication, information to provide them with the confidence to act, recognizing and responding to support needs and continuity in the course helpful in coping with EoL care situations. Access problems to specialist medical care, deficiencies in care coordination and bureaucratic hurdles in the provision of medical aids proved to be an additional burden.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion&lt;/h3&gt;&lt;p&gt;The results underline the importance of open communication and the integration of relatives into the care process for optimal care at the end of life. Close cooperation between the services involved and proactive support for relatives are essential, too, especially in rural areas where the challenges of accessing and coordinating care services are a major concern.&lt;/p&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusion&lt;/h3&gt;&lt;p&gt;The identification and communication of complex problems, the needs of patients and their relatives and possible barriers to accessing care services are prerequisites for the timely initiation of palliative care measures and support for family caregivers. In addition to needs-based care structures, the optimiza","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 48-57"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S186592172400117X/pdfft?md5=44fe502e16b12ea3f30ec271eecc8af4&pid=1-s2.0-S186592172400117X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141753096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anwendbarkeit eines Screening-Instruments für die Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung bei Erwachsenen (ASRS-5) in der Hausarztpraxis – eine qualitative Studie","authors":"","doi":"10.1016/j.zefq.2024.05.003","DOIUrl":"10.1016/j.zefq.2024.05.003","url":null,"abstract":"<div><h3>Objectives</h3><p>The aim of the study was to explore the subjective views of general practitioners on the applicability of the Adult ADHD Self-Report Screening Scale for DSM-5 (ASRS-5) as a screening tool for attention-deficit/hyperactivity disorder (ADHD) in adults in general practice.</p></div><div><h3>Method</h3><p>Eleven general practitioners, who had participated in the validation study of the German version of the ASRS-5, were interviewed. For this purpose, a semi-structured interview guide was designed using the Consolidated Framework for Implementation Research (CFIR). The interviews were audio-recorded, transcribed, and analyzed using qualitative content analysis according to Kuckartz.</p></div><div><h3>Results</h3><p>The ASRS-5 seems to work well in general medical practice. But there is evidence for a lack of knowledge about ADHD in adults among general practitioners and a demand for further training in this area. Moreover, insufficient possibilities for subsequent treatment after a positive ADHD screening were claimed.</p></div><div><h3>Discussion</h3><p>In general medicine, the introduction of a screening using ASRS-5 in cases of clinical suspicion could be the first step towards improving the management of adult patients with ADHD.</p></div><div><h3>Conclusion</h3><p>Optimizing the management of adults with ADHD requires additional information and training initiatives to support early diagnosis especially in the primary care setting, and to reveal treatment options and care concepts for adults with ADHD.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 41-47"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000886/pdfft?md5=c0ad5e9b73aca1e48d31bff3b9947017&pid=1-s2.0-S1865921724000886-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141307096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Klinische Forschung im Dienst der Heilkunde: Kontexte, Praxis, Methodik und Theorie des „klinischen Beweises“ von Paul Martini – Beitrag 4: Rezeption, Resonanz und Resümee","authors":"","doi":"10.1016/j.zefq.2024.05.004","DOIUrl":"10.1016/j.zefq.2024.05.004","url":null,"abstract":"<div><p>Having dealt with Martini's understanding of causality and his procedural elements of evidence in the third part, the concluding article once again takes a historical perspective. It (1) traces the positionings and contexts of Martini’s methodology in a sort of historical longitudinal section and (2) discusses the reasons for the rather reluctant response to his research programme in German and international medicine. We then focus (3) on Martini’s understanding and concept of clinical research, the specific challenges he faced in post-war German medicine – and what remains of it today. Finally, we summarise the key findings of our article series and reflect on Martini’s work in terms of its special nature and significance for clinical medicine in the 20^th century.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"188 ","pages":"Pages 95-103"},"PeriodicalIF":1.4,"publicationDate":"2024-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000898/pdfft?md5=6634f45fbb6c8524a7d17b6912630fd9&pid=1-s2.0-S1865921724000898-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inhaltsverzeichnis / Table of Contents","authors":"","doi":"10.1016/S1865-9217(24)00107-7","DOIUrl":"https://doi.org/10.1016/S1865-9217(24)00107-7","url":null,"abstract":"","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Pages iv-v"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724001077/pdfft?md5=8a528cf9e4ce0fdbbcddfc9ee787fe17&pid=1-s2.0-S1865921724001077-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141542701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development and validation of a short clinical risk management implementation (Short CRiMI) questionnaire","authors":"Nikoloz Gambashidze ,&nbsp;Matthias Marsall ,&nbsp;Martina Schmiedhofer ,&nbsp;Karl Blum ,&nbsp;Hannah Roesner ,&nbsp;Reinhard Strametz ,&nbsp;Matthias Weigl","doi":"10.1016/j.zefq.2024.04.003","DOIUrl":"10.1016/j.zefq.2024.04.003","url":null,"abstract":"<div><p>Clinical Risk Management (CRM) is an important instrument to continuously improve safety of health care delivery. In Germany, hospitals are required by law to implement CRM and incidence reporting systems. Since 2010, nation-wide surveys have been conducted periodically to evaluate implementation of CRM in hospitals. The instrument used in these surveys is constantly being updated to reflect previous experiences, as well as to adapt to ongoing trends and developments in CRM practices. The survey instrument used in 2022 consisted of up to 200 items and took up to an hour to complete. In this study, we aimed to develop a short instrument to measure the level of CRM implementation in hospitals, evaluate its psychometric properties, and to offer benchmarking data for health care facilities of different sizes.</p><p>We used data collected in 2022 as part of KHaSiMiR study, employing a cross-sectional self-reported online survey. The hospital administrations were invited to designate one CRM manager to participate in the study. Out of 1,411 general hospitals invited, 401 responses were collected (response rate of 28%). After removing the cases with excessive missings, we imputed remaining missing values using multiple imputation, and split the resulting sample (n<!--> <!-->=<!--> <!-->362) in two halves (i.e., exploratory and testing subsamples). A principal component analysis was applied on the first subsample. We validated the resulting model using confirmatory factor analysis in the testing subsample. We evaluated internal consistency, and tested external validity of the established instrument using correlation analysis with two single-item measures: subjective evaluation of CRM implementation compared to similar organizations and compared to own ideal level. The principal component analysis included 45 items from the full instrument. The analysis resulted in a three-factor model with 26 items. In the confirmatory factor analysis, the model demonstrated acceptable fit with the data according to the commonly used fit indices: Chi²/df<!--> <!-->=<!--> <!-->1.36, CFI<!--> <!-->=<!--> <!-->0.941, TLI<!--> <!-->=<!--> <!-->0.930, RMSEA<!--> <!-->=<!--> <!-->0.045 (90% CI<!--> <!-->=<!--> <!-->0.032–0.056), SRMR<!--> <!-->=<!--> <!-->0.049. Cronbach’s alpha of all three factors was good (&gt;0.70). All three factors had statistically significant positive correlations with each other (0.359–0.497) and with the two single items (0.282–0.532). None of the correlations were high enough (&gt;0.7) to indicate multicollinearity.</p><p>The proposed short clinical risk management implementation (Short CRiMI) questionnaire is psychometrically valid and can be used to rapidly evaluate CRM implementation in hospitals. Further research can provide evidence of its external validity and association with quality and safety outcomes. Benchmarking data can be used to compare the results with the data from the most recent Germany-wide survey.</p></div>","PeriodicalId":46628,"journal":{"name":"Zeitschrift fur Evidenz Fortbildung und Qualitaet im Gesundheitswesen","volume":"187 ","pages":"Pages 8-14"},"PeriodicalIF":1.4,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1865921724000825/pdfft?md5=dfe2f8caeb3022ad8985506e1d7cc388&pid=1-s2.0-S1865921724000825-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140960013","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}