Dealing with risks in patient care
Quality management
Kerstin Schwarz
Abteilungsleitung Qualitätsmanagement
St.-Peter-Str. 31
95643 Tirschenreuth
Phone:
0961
-303-12400
Mail:
ga.zlafprebodron-neknilk@zrawhcs.nitsrek
Abteilungsleitung QM mit Vorstand; bei Bedarf Themenbesprechung in Leitungskonferenzen.
Conference frequency: andere Frequenz
Risk management
Kerstin Schwarz
Abteilungsleitung Qualitätsmanagement
St.-Peter-Str. 31
95643 Tirschenreuth
Phone:
0961
-303-12400
Fax: 0961-303-12409
Mail:
ga.zlafprebodron-neknilk@zrawhcs.nitsrek
Abteilungsleitung QM mit Vorstand; bei Bedarf Themenbesprechung in Leitungskonferenzen.
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (09.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement (20.08.2021) |
| RM05 |
Pain management Schmerzmanagement (02.08.2022) |
| RM06 |
Fall prophylaxis Sturzprophylaxe Checkliste (24.11.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (17.08.2022) |
| RM08 |
Regulated handling of custodial measures Patientenfixierung und Ruhigstellung (12.04.2016) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (08.02.2022) |
| 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 OP Checkliste (31.07.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings OP Checkliste (31.07.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vermeidung von Eingriffsverwechslungen, Patientenarmband / Patientenidentifikation (15.05.2019) |
| RM17 |
Standards for recovery and postoperative care Aufwachraum (14.01.2022) |
| RM18 |
Discharge management Entlassmanagement (07.06.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Übergreifende Regelungen im Qualitätsmanagementsystem im Sinne der kontinuierlichen Verbesserung.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 26.04.2023 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |