Dealing with risks in patient care
Quality management
Sigrid Carbon
Qualitätsmanagementbeauftragte
Harthauser Str. 16
83043 Bad Aibling
Phone:
08061
-930-9092
Mail:
ed.dem-or@nobraC.dirgiS
Qualitätsmanagement Jour fixe mit Geschäftsführung (wöchtentlich); Qualitätsmanagement Jour fixe mit Qualitätsmanagementbeauftragten und Ärztlichen Qualitätsbeauftragten (alle 2 Wochen)
Conference frequency: wöchentlich
Risk management
Sandra Mayer-Huber
Leitung zentrales Qualitätsmanagement
Phone:
08031
-365-6615
Mail:
ed.dem-or@rebuh-reyam.ardnas
Sigrid Carbon
Qualitätsmanagementbeauftragte
Phone:
08061
-930-9092
Fax: 08031-930-224
Mail:
ed.dem-or@nobraC.dirgiS
Qualitätsmanagement Jour fixe mit Geschäftsführung (wöchtentlich); Qualitätsmanagement Jour fixe mit Qualitätsmanagementbeauftragten und Ärztlichen Qualitätsbeauftragten (alle 2 Wochen)
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Leitfaden Qualitäts- / Risikomanagement (RoMed-07865) (27.07.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfall in der Klinik (AIB-01530) (03.07.2019) |
| RM05 |
Pain management Leitfaden perioperative Schmerztherapie (AIB-05557) (18.08.2023) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe in der Pflege (RoMed-01472) (24.07.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe in der Pflege (RoMed-01398) (10.09.2020) |
| RM08 |
Regulated handling of custodial measures Standard Freiheitsentziehende Maßnahmen (RoMed-06049) (29.03.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Störung an einem aktiven Medizinprodukt (RoMed-04238) (04.01.2023) |
| 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 Team-Time-Out (AIB-03580) (09.06.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut (AIB-03333) (13.07.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Statut (AIB-03333) (13.07.2022) |
| RM17 |
Standards for recovery and postoperative care SOP Überwachung im AWR (AIB-07955) (22.06.2022) |
| RM18 |
Discharge management Information Entlassmanagement (RoMed-07367) (22.07.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Überprüfung Ausfallkonzept bei defekten Aufzügen; Prüfung Alarmierungskette Notdienst; Training der Haustechnik zur manuellen Bedienung im Notfall
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 03.07.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |