Dealing with risks in patient care
Quality management
Dr. med. Gerhard Schwarzmann
QMB Gesamtklinikum
Oberdürrbacher Straße 6
97080 Würzburg
Phone:
0931
-201-59441
Mail:
ed.wku@G_namzrawhcS
Strategiekommission
Conference frequency: quartalsweise
Risk management
Gerhard Schwarzmann
QMB Gesamtklinikum
Josef-Schneider-Straße 2
97080 Würzburg
Phone:
0931
-201-59441
Fax: 0931-201-55688
Mail:
ed.wku@G_namzrawhcS
Strategiekommission
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM05 |
Pain management im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM06 |
Fall prophylaxis im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM08 |
Regulated handling of custodial measures im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices im QM-Dokumentenlenkungssystem (01.01.2023) |
| 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 im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups im QM-Dokumentenlenkungssystem (Patientenarmband) (01.01.2022) |
| RM17 |
Standards for recovery and postoperative care im QM-Dokumentenlenkungssystem (01.01.2023) |
| RM18 |
Discharge management im QM-Dokumentenlenkungssystem (01.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
z.B. Etablierung eines elektronischen Arzneimittelinformationssystems, regelmäßige Aktualisierung der Handbücher/Handlungsanweisungen zu Aufklärung oder Arzneimittelsicherheit, Ausbau der Sicherheitschecklisten, Durchführung von Doku-Audits, Einführung einer elektronischen Pflegekurve
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.01.2023 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association) |
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |
| EF08 |
CIRS Emergency Medicine (Department of Anaesthesia, Intensive Care Medicine and Emergency Medicine, Kempten Hospital) |
| EF10 |
CIRS of the German Society of Surgery (DGCH) |
| EF13 |
DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA) |