Dealing with risks in patient care

Quality management

Dipl.-Pflegewirt (FH) Thomas Loichinger MBA

Qualitätsmanager

Kaiserstraße 93-101
79761 Waldshut-Tiengen

Phone: 07751 -85-4257
Mail: ed.rhlk@regnihciol.samoht

Geschäftsführung, Pflegedirektion, Ärztlicher Direktor, Medizinmanagement, Qualitätsmanagement, Projektmanagement, Unternehmensentwicklung

Conference frequency: monatlich

Risk management

Thomas Loichinger MBA

Qualitätsmanager

Phone: 07751 -85-4257
Fax: 07751-85-9016
Mail: ed.rhlk@regnihciol.samoht

Krankenhausleitungsgeremium Geschäftsführung, Medizinmanagement, Ärztliche Direktion, Pflegedirektion, Unternehmensentwicklung, Qualitätsmanagement

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Roxtra (08.03.2023)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Roxtra (08.03.2023)

RM05

Pain management

Roxtra (08.03.2023)

RM06

Fall prophylaxis

Roxtra (08.03.2023)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Roxtra (08.03.2023)

RM08

Regulated handling of custodial measures

Roxtra (08.03.2023)

RM09

Regulated handling of occurring malfunctions of devices

Roxtra (08.03.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
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

Roxtra (08.03.2023)

RM15

Preoperative, complete presentation of necessary findings

Roxtra (08.03.2023)

RM16

Procedure to avoid procedural and patient mix-ups

Roxtra (08.03.2023)

RM17

Standards for recovery and postoperative care

Roxtra (08.03.2023)

RM18

Discharge management

Roxtra (08.03.2023)

Fault reporting systems

Conference committee

Conference frequency:

Measures

Patientenidentifikationsarmbänder zur Vermeidung von Verwechselungen etabliert Nutzung des Manchester Triage Systems zur Feststellung der Behandlungsdringlichkeit in der Notaufnahme

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 21.04.2022

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 jährlich

Conference committee

Conference frequency:

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)