Dealing with risks in patient care
Quality management
Doreen König
Qualitätsmanagement
Eugenstr. 3
73230 Kirchheim
Phone:
0711
-4488-14418
Mail:
ed.nekinilk-suidem@gineok.d
Lenkungsgremium QM, Steuerungsgruppe
Conference frequency: quartalsweise
Risk management
Christian Zimmermann
Klinisches Risikomanagement
Eugenstr. 3
73230 Kirchheim
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 (26.08.2018) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Clinis-Clinic-Notfall-Informationssystem, , weitere Schulungen Reanimation, Erste Hilfe (12.10.2018) |
| RM05 |
Pain management Schmerzleitfaden, Expertenstandard Schmerzmanagement (09.11.2018) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (08.11.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (18.05.2018) |
| RM08 |
Regulated handling of custodial measures Unternehmensanweisung Freiheitsbeschränkende Maßnahmen (13.03.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Funktionsstörung an aktiven Medizinprodukten (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 Übergabe AWR - Pflegegruppe (04.01.2018) |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement, Casemanagement (13.11.2018) |
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: 06.09.2018 |
| 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 Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |