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From the CSSD to the OR – A Quantitative and Qualitative Analysis of the Frequency, Types and Impact of Surgical Instrument Errors in German-Speaking Hospitals
No full textFehlerhafte chirurgische Instrumente (z. B. verschmutzte, defekte oder fehlende Instrumente) gefährden die Patientensicherheit und beeinträchtigen die Effizienz klinischer
Abläufe. Studien zeigen, dass Instrumentenfehler erhebliche Verzögerungen und Kosten verursachen (Guédon, et al., 2015; Nichol, et al., 2024). Diese Arbeit untersucht erstmals die Fehlerquote in deutschsprachigen Kliniken und analysiert die Art, Häufigkeit und Auswirkungen fehlerhafter Instrumente im OP. Grundlage ist ein Mixed-Methods-Design mit Auswertung von über 1,5 Mio. chirurgischer Sets aus acht Einrichtungen sowie Experteninterviews mit AEMP- und OP-Personal. Die Ergebnisse verdeutlichen den Packplatz der AEMP als eine zentrale Fehlerquelle: 53 % entfielen auf nicht funktionsfähige Instrumente, 28 % auf fehlende Instrumente. Die Fehlerquote lag bei 0,87 %, wobei Literatur auf Interviews auf eine höhere Dunkelziffer hinweisen. Daraus resultieren Handlungsempfehlungen wie Standardisierung der Fehlerdokumentation und der Einsatz digitaler Unterstützungssysteme. Die Arbeit schließt damit eine Forschungslücke, zeigt Optimierungspotenziale für Kliniken und liefert Impulse für Produktentwicklung und strategisches Marketing in der Medizintechnik.Faulty surgical instruments (e.g. contaminated, defective, or missing instruments) represent a relevant risk factor for patient safety and the efficiency of clinical workflows in the operating room. Studies have shown that instrument errors can cause significant surgical delays and additional costs (Guédon, et al., 2015; Nichol, et al., 2024). This thesis therefore provides the first analysis of the current error rate in German-speaking hospitals and examines the types, frequency and impact of surgical instrument errors in the OR. The study applies a mixed-methods design, combining the evaluation of more than 1.5 million surgical sets from eigth facilities with expert nterviews of CSSD and OR staff. The findings highlight the CSSD packing station as a central source of errors where non- unctional instruments accounted for 53 % of all cases, followed by missing instruments (28 %). The overall error rate was 0.87 %, although literature and experts suggest that the actual figure is higher. Based on these results practical ecommendations include the standardization of error documentation and the implementation of digital support systems. Concluding the study closes a research gap, identifies ptimization potential and provides insights for product development and strategic marketing in the medical technology sector
Onboarding und organisationale Bindung: Eine qualitative Untersuchung zum Einfluss erster Arbeitserfahrungen auf Mitarbeiterbindung
No full textOnboarding gilt als zentraler Prozess zur erfolgreichen Integration neuer Mitarbeitender und zur Stärkung ihrer Bindung an das Unternehmen. Ziel dieser Arbeit war es, den Einfluss spezifischer Maßnahmen und erster Arbeitserfahrungen auf die Entwicklung organisationaler Bindung zu untersuchen. Grundlage bildete eine qualitative Untersuchung mit leitfadengestützten Interviews, die mittels qualitativer Inhaltsanalyse ausgewertet wurden. Die Ergebnisse verdeutlichen, dass Bindung nicht durch isolierte Maßnahmen entsteht, sondern durch ein Zusammenspiel von wertschätzender Führung, sozialer Integration und klarer Rollenklärung. Zudem zeigt sich, dass frühe Arbeitserfahrungen unmittelbare Auswirkungen auf affektive, kognitive und vertragliche Dimensionen der Bindung haben und damit entscheidend für die Bleibeabsicht sind. Die Befunde bestätigen zentrale theoretische Modelle, erweitern diese jedoch durch die Erkenntnis, dass insbesondere informelle Erfahrungen und eine ausgewogene Balance zwischen Struktur und Flexibilität für den Bindungserfolg maßgeblich sind. Die Arbeit leistet damit sowohl einen Beitrag zur theoretischen Weiterentwicklung des Onboarding-Diskurses als auch praxisnahe Implikationen für die Gestaltung wirksamer Einarbeitungsprozesse.Onboarding is a key process for the successful integration of new employees and the strengthening of their organizational commitment. The objective of this thesis was to analyze how specific measures and initial work experiences influence the development of organizational commitment. The study applied a qualitative research design based on guideline-based interviews, which were evaluated using qualitative content analysis. The findings demonstrate that commitment does not arise from isolated actions but from the interplay of appreciative leadership, social integration, and role clarity. Moreover, the results show that early work experiences directly affect affective, cognitive, and contractual dimensions of commitment and are therefore decisive for retention intentions. While confirming established theoretical models, the study extends them by highlighting the importance of informal experiences and the balance between structure and flexibility as critical success factors. This thesis thus contributes both to the theoretical advancement of onboarding research and to practical recommendations for the design of effective integration processes
Psychological Safety in Diversity Courses in Diverse Classrooms
No full textWhile diversity-related university courses aim to foster open dialogue and intercultural understanding, many students hesitate to participate in classroom discussions. This thesis explores how psychological (un)safety, emotional responses and identity-related concerns influence student participation in such discussions. Six semi-structured interviews with students from Furtwangen University were conducted and analyzed using qualitative content analysis in MAXQDA. The findings show that psychological safety is fragile and develops over time, yet can be easily disrupted by subtle signs of judgment, group tension or perceived authority. Participation increased when students felt supported, inspired, or emotionally secure, especially through interactive methods and peer encouragement. However, emotions like fear, frustration or insecurity often led to withdrawal. The study highlights how identity, emotion, and perceived risk shape student engagement and points to the mportance of creating learning environments where students feel safe to contribute openly
Evaluating the Feasibility of a Dyadic, Touch-Based Multimedia Tablet Intervention and Its Effects on the Caregiver-Patient Relationship Among Individuals With Mild Cognitive Impairment : Qualitative Triangulation Study
Get PDFAuswirkungen dysfunktionaler Führungsteams auf die Unternehmensperformance
No full textThis bachelor thesis addresses the effects of dysfunctional management teams on corpo-
rate performance. The starting point is the assumption that management teams have a
crucial influence on the strategic orientation and performance of organizations. A lack of
trust, clarity and openness gives rise to patterns such as unspoken expectations and non-
transparent decision-making processes, which weaken the collective ability to act. A qual-
itative research design was chosen to answer the research question. In addition to a com-
prehensive literature review, six guided expert interviews were conducted with managers
from different organizations. The results show that dysfunctional management teams are
characterized in particular by communication problems, unclear responsibilities and con-
flict avoidance. This leads to a challenging working atmosphere, increased turnover and
declining productivity, which significantly reduces the innovative strength of organiza-
tions. At the same time, it becomes evident that dysfunctionality is not a static construct,
but rather manifests itself gradually and within specific domains. The study derives prac-
tical recommendations for action from this, which are primarily aimed at building trust,
creating transparent decision-making processes and promoting diversity and empathy in
management teams
Pocketcard als Implementierungshilfe für die Pflege
Get PDFDie Pocketcard wurde als unterstützendes Tool für die Anwendung des Canvas konzipiert. Sie lädt mit gezielten Fragen dazu ein, relevante Aspekte bezüglich der Patient*innen, der Technologie, der Nutzer*innen und des Settings auf Basis der wesentlichen Erkenntnisse des Pflegepraxiszentrums Freiburg zu reflektieren. Dabei eröffnet die Pocketcard die Möglichkeit, einzelne Punkte nicht isoliert, sondern in ihrem wechselseitigen Einfluss zu betrachten
Design Thinking for Social Innovation: The Role of Empathy and Optimization Strategies for Systemic Change
No full textThe inadequacy of traditional innovation paradigms in addressing complex global challenges has increased the importance of social innovation as a framework to drive social change and systemic transformation. Design Thinking (DT), with its human-centered and iterative approach, offers significant potential to address such challenges. Central to DT is empathy, which enables designers to develop solutions that are both innovative and responsive to users’ needs. However, the role of empathy in Design Thinking for Social Innovation remains underexplored, limiting the ability of DT teams to harness its full potential. This thesis addresses this gap by examining the role of empathy in Design Thinking for Social Innovation and proposing strategies to optimize its application for sustainable and systemic social impact. Furthermore, it develops an implementation framework to help DT teams integrate and sustain empathy throughout the social innovation process.
Using a dual methodological approach comprising a comprehensive literature review and case study analysis, this research identifies two interconnected functions of empathy in Design Thinking for Social Innovation: as a motivational force that drives engagement with social challenges and as a fundamental element of the DT process, where it operates on two levels—internally, influencing team dynamics, and externally, guiding collaboration with users and stakeholders. On both levels, empathy assumes a dual role, acting as both a critical enabler of impactful solutions and a significant challenge that can hinder desired outcomes.
To address these challenges, the thesis proposes evidence-based strategies, including self-focused approaches (e.g., mindfulness training), relationship-oriented methods (e.g., communication skill training), and perspective-building techniques (e.g., narrative inquiry). At the organizational level, the adoption of paradoxical leadership and the integration of Systems Thinking are identified as critical strategies to optimize empathy’s dual role. These strategies are consolidated into a comprehensive implementation framework, providing DT teams with practical tools to sustain empathic engagement, promote holistic problem-solving, and ensure alignment with systemic objectives
