title: [Efficient document management by introduction of a new, dynamic quality manual application according to DIN EN ISO 9001:2000].
abstract: OBJECTIVE
  Evaluation of the impact of a new, dynamic computer-aided quality manual application (QMA) regarding the acceptance and efficiency of a quality management system (QMS) according to DIN EN ISO 9001:2000.
  
  
  METHODS
  The QMA combines static pages of HTML with active content generated from an underlying database. Through user access rights, a hierarchy is defined to create and administer quality documents. Document workflow, feedback management and employee survey were analyzed to compare the performance of the new QMH with the formerly used static version.
  
  
  RESULTS
  Integration of a document editor and automated document re-approval accelerated the document process by an average of 10 min. In spite of an increase of the yearly document changes of 60%, the administration effort was reduced by approximately 160 h. Integration of the feedback management system into the QMA decreased handling time from an average of 16.5 to 3.4 days. Simultaneously the number of feedback messages increased from 160 in 2005 to 306 in 2006. Employee satisfaction was raised (old: 3.19+/-1.02, new: 1.91+/-0.8). The number of users who partook in the QMA more than once a week also increased from 29.5% to 60%.
  
  
  CONCLUSIONS
  The computer-aided quality manual application constitutes the basis for the success of our QMS. The possibility to actively participate in the quality management process has led to broad acceptance and usage by the employees. The administration effort was able to be tremendously decreased as compared to conventional QMS.
authors.affiliation: Abteilung Röntgendiagnostik, Universitätsklinikum Freiburg, Freiburg. gregor.pache@uniklinik-freiburg.de
authors.forename: G
authors.initials: G
authors.lastname: Pache
authors.forename: U
authors.initials: U
authors.lastname: Saueressig
authors.forename: T
authors.initials: T
authors.lastname: Baumann
authors.forename: L
authors.initials: L
authors.lastname: Dürselen
authors.forename: M
authors.initials: M
authors.lastname: Langer
authors.forename: E
authors.initials: E
authors.lastname: Kotter
mesh_terms: D004526:Efficiency; D005858:Germany; D006801:Humans; D019451:Information Management / Q000331:legislation & jurisprudence / Q000592:standards; D008370:Manuals as Topic / Q000592:standards*; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D011873:Radiology Information Systems / Q000331:legislation & jurisprudence* / Q000592:standards; D012984:Software / Q000331:legislation & jurisprudence / Q000592:standards; D017749:Total Quality Management / Q000331:legislation & jurisprudence*