Dealing with risks in patient care
Quality management
Rebecca Vorwald
Leitung Qualitätsmanagement und klinisches Risikomanagement
Sonnenstraße 24-26
80331 München
Phone:
089
-149903-0
Mail:
ed.mukinilkrasi@ofni
alle medizinischen und sonstigen Versorgungsbereiche
Conference frequency: monatlich
Risk management
Rebecca Vorwald
Leitung Qualitätsmanagement und klinisches Risikomanagement
Phone:
089
-149903-0
Fax: 089-149903-1990
Mail:
ed.mukinilkrasi@ofni
alle medizinischen und sonstigen Versorgungsbereiche
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Portal (21.11.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Portal (21.11.2022) |
| RM05 |
Pain management QM-Portal (21.01.2022) |
| RM06 |
Fall prophylaxis QM-Portal (11.11.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Portal (24.10.2023) |
| RM08 |
Regulated handling of custodial measures QM-Portal (19.04.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Portal (27.03.2023) |
| 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 QM-Portal (01.09.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Portal (01.09.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Portal (27.12.2022) |
| RM17 |
Standards for recovery and postoperative care QM-Portal (06.02.2023) |
| RM18 |
Discharge management QM-Portal (22.03.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
pharmakologische Kurvenvisite der stationären Medikation in Kooperation mit klinischer Pharmakologin, Arzneimitteltherapiesicherheit, Risikoanalyse Prozesse, Durchführung von Risikoaudits, Umsetzung der Expertenstandards Pflege, Externe Beratung, Präventive Maßnahmen und Risikoanalysetools, Schulungen und Arbeitsanweisungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.03.2023 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken monatlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |