Cooperation | | | |
Documentation | Loss of information due to insufficient documentation/poor readability Dual documentation in two record systems (one of the university hospital, one of the local resident doctors) Unclear how to archive medical and laboratory results
| | Clarification with the university hospital’s administration to only use one documentation software Design of a pattern to standardise documentation in the software Software training for resident physicians was performed Installation of a software module to import laboratory results and training of staff how to use it
|
Medical treatment | Unclear how to handle patients with psychotropic dependency Shortcomings in assuring follow-up visits and continuity of care Lack of guidelines or standards for frequent reasons of consultation and infectious diseases Lack of time to address psychosocial causes of symptoms
| | Composition of a detoxification contract in various languages that all patients with psychotropic dependency have to sign Exchange with staff of advisory services for asylum seekers for social and legal issues during a quality circle meeting Guideline for diagnostics of infectious diseases will be elaborated in cooperation with the Department of Tropical Medicine
|
Human resources | | | |
Material resources | Lack of drug supplies and vaccinations Shortage and lacking standardisation of necessary equipment Lack of well-functioning soft- and hardware (such as record system and printers)
| | |
Politics and legislation | Uncertainties among healthcare professionals about the scope of care covered by Asylum Seekers’ Benefits Act Uncertainties related to issuing medical certificates with relevance for the asylum procedure
| | |
Motivation/attitudes | | Work is considered a meaningful task Work is considered interesting because of wide range of cases High level of commitment from all staff
| |
Patient behaviour | | | |
Healthcare providers’ behaviour | | | |
Organisational processes | Registration: lack of triage mechanisms to identify patients with acute conditions Registration: previous healthcare provision is not considered leading to redundancies in diagnostics and channeling to wrong specialisation Emergency case is not complete
| | |