Dealing with risks in patient care
Quality management
Dipl.-Sozialwirt Stephan Krahe
Stabsstelle Qualitäts- und Risikomanagement
Hofheimer Str. 69
97437 Haßfurt
Phone:
09521
-284915-
Mail:
ed.nekinilk-grebssah@mq
Vorstand, Ärztlicher Direktor, Pflegedienstleitung
Conference frequency: bei Bedarf
Risk management
Stephan Krahe
Stabsstelle Qualitäts- und Risikomanagement
Hofheimer Straße
97437 Haßfurt
Phone:
09521
-284915-
Mail:
ed.nekinilk-grebssah@mq
Vorstand, Ärztlicher Direktor, Pflegedienstleitung
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Dokumentation Intranet (30.10.2024) |
| RM04 |
Clinical emergency management VA Notfallmanagement Reanimationsdienst (25.05.2024) |
| RM05 |
Pain management Schmerz/ Analgesie nach WHO-Stufen-Schema (23.01.2024) |
| RM06 |
Fall prophylaxis QM-Handbuch Intranet (28.04.2024) |
| 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 - adaptiert an die Haßberg-Kliniken in Kurz- und Langfassung sowie Pflegestandard Dekubitusprophylaxe (28.04.2024) |
| RM08 |
Regulated handling of custodial measures DA Fixierung - freiheitsentziehende Maßnahmen, AA Werdenfelser Weg (17.05.2021) |
| 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 QM-Dokumentation Intranet (30.10.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Dokumentation Intranet (30.10.2024) |
| RM17 |
Standards for recovery and postoperative care QM-Dokumentation Intranet (30.10.2024) |
| RM18 |
Discharge management QM-Dokumentation Intranet (30.10.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einsatz einer OP-Checkliste, Sturzrisikoeinschätzung, Vermeidung von Eingriffsverwechselungen, Händehygiene, Überwachung Antibiotikaeinsatz, Infektionsmanagement
| No. | Explanation |
|---|---|
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |