Dealing with risks in patient care
Quality management
Dr. med. Christian Zimmermann
Qualitätsmanagement
Auf dem Säer 1
72622 Nürtingen
Phone:
07021
-88-44501
Mail:
ed.nekinilk-suidem@tnemeganamsteatilauq
Lenkungsgremium QM, Steuerungsgruppe
Conference frequency: quartalsweise
Risk management
Christian Zimmermann
Klinisches Risikomanagement
Auf dem Säer 1
72622 Nürtingen
Phone:
07021
-88-44500
Mail:
ed.nekinilk-suidem@nnamremmiz.c
Lenkungsgremium Risikomanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch, Risikomanagement Software (03.05.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Clinis-Clinic-Notfall-Informationssystem, , weitere Schulungen Reanimation, Notfallpläne (02.01.2023) |
| RM05 |
Pain management Schmerzleitfaden, Expertenstandard Schmerzmanagement (15.07.2024) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (31.07.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (25.07.2024) |
| RM08 |
Regulated handling of custodial measures Unternehmensanweisung Freiheitsbeschränkende Maßnahmen (25.08.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Unternehmensanweisung Medizinprodukte, (22.06.2018) |
| 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 Sicherheitscheckliste im OP (26.10.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings Sicherheitscheckliste im OP (26.10.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Sicherheitscheckliste im OP (26.10.2018) |
| RM17 |
Standards for recovery and postoperative care Postoperatives Medikamentenschema, Anordnung der Medikamente nach Empfehlung der Anästhesie (08.08.2025) |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement, Casemanagement (26.08.2024) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Patientenidentifikationsarmbänder, Simulationszimmer-Notfallsituation, WHO-OP Checkliste, Pflegequalität: Sturz, Schmerz, Dekubitus, MRE, Sicherung rationaler Antibiotika-Anwendung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.05.2024 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |