title: [Organisational problems in hospitals as risk factors].
abstract: The organisational responsibility in a hospital lies with the individual who is actually (co-) responsible for the error (for example, the senior consultant, medical director, nursing manager, administrative director or manager of a hospital). According to the Federal Court of Justice (BGH), staff shortages are no excuse for the failure to adhere to the standard of care. According to a judgement of the Labour Court in Wilhelmshaven the Senior Consultant of a hospital is entitled to be provided with the necessary number of staff by the hospital owner who is obliged to provide a round-the-clock specialist care standard. Care should be taken that no employees be deployed who are overtired from working the previous night shift. Timely information of the follow-up physician about therapeutic issues resulting from the hospital treatment is demanded. Risk prevention strategies developed by an expert group as a form of risk management are reasonable and also requested by some liability insurances.
authors.affiliation: Fachanwalt für Medizinrecht, Königsallee 22, 40212 Düsseldorf. kanzlei@ra-dr-jansen.de
authors.forename: Christoph
authors.initials: C
authors.lastname: Jansen
mesh_terms: D006761:Hospitals / Q000592:standards*; D006801:Humans; D008318:Malpractice / Q000331:legislation & jurisprudence*; D008505:Medical Staff, Hospital / Q000331:legislation & jurisprudence / Q000592:standards; D010564:Personnel, Hospital / Q000592:standards* / Q000706:statistics & numerical data; D012307:Risk Factors