Dealing with risks in patient care
Quality management
Sabrina Trautvetter
Qualitätsmanager
Professor-Arneth-Straße 2b
96215 Lichtenfels
Phone:
09571
-12-1407
Mail:
ed.nekinilk-demoiger@rettevtuart.anirbas
Krankenhausdirektor, Ärztlicher Direktor, Pflegedirektor, Betriebsrat, Standortverantwortliche Qualitätsmanager Berichterstattung erfolgt quartalsweise
Conference frequency: quartalsweise
Risk management
Phone: --
Krankenhausdirektor, Ärztlicher Direktor, Pflegedirektor, Betriebsrat, Standortverantwortliche Qualitätsmanager Berichterstattung erfolgt quartalsweise
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualido Infoboard (28.09.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualido Infoboard (28.09.2023) |
| RM05 |
Pain management Qualido Infoboard (28.09.2023) |
| RM06 |
Fall prophylaxis Qualido Infoboard (28.09.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualido Infoboard (28.09.2023) |
| RM08 |
Regulated handling of custodial measures Qualido Infoboard (28.09.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualido Infoboard (28.09.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings KIS System AGFA Healthcare, Patientenkurve (25.09.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualido Infoboard (28.09.2023) |
| RM17 |
Standards for recovery and postoperative care Qualido Infoboard (28.09.2023) |
| RM18 |
Discharge management Qualido Infoboard (28.09.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Eine offene Fehlerkultur ist essentieller Bestandteil des Qualitätsmanagementsystems
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.06.2023 |
| 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:
| No. | Explanation |
|---|---|
|
Other |