Dealing with risks in patient care
Quality management
Stefan Dudda
Qualitätsmanagement
Hohenzollernstrasse 40
72488 Sigmaringen
Phone:
07571
-100-52740
Mail:
ed.hrs@adduD.nafetS
GF, alle Abteilungen und Funktionsbereiche themenbezogen
Conference frequency: monatlich
Risk management
GF, alle Abteilungen und Funktionsbereiche themenbezogen
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH der Klinik (22.10.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QMH der Klinik (22.10.2022) |
| RM05 |
Pain management QMH der Klinik (22.10.2022) |
| RM06 |
Fall prophylaxis QMH der Klinik (22.10.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QMH der Klinik (22.10.2022) |
| RM08 |
Regulated handling of custodial measures QMH der Klinik (22.10.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QMH der Klinik (22.10.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss QMH der Klinik (22.10.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings QMH der Klinik (22.10.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QMH der Klinik (22.10.2022) |
| RM17 |
Standards for recovery and postoperative care QMH der Klinik (22.10.2022) |
| RM18 |
Discharge management QMH der Klinik (22.10.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Kontinuierlicher Verbesserungsprozess: z.B. Präoperative Erfassung von Patientenrisiken in interdisziplinärer Planung und Konsens.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.07.2023 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |