Dealing with risks in patient care
Quality management
Sascha Rödder
Kaufmännischer Direktor
Hohbergweg 2
77933 Lahr/Schwarzwald
Phone:
07821
-925-2005
Mail:
ed.nilcidem@reddeor.ahcsas
Kirsten Mangelsdorf
Qualitätsmanagementbeauftragte
Hohbergweg 2
77933 Lahr/Schwarzwald
Phone:
07821
-925-2516
Mail:
ed.nilcidem@frodslegnam.netsrik
Klinikleitung, Qualitätsmanagement
Conference frequency: quartalsweise
Risk management
Hilberath Jan Niklas
Chefarzt der Klinik für Anästhesiologie und Intensivmedizin
Phone:
07821
-925-2001
Fax: 07821-925-392110
Mail:
ed.nilcidem@htareblih.naj
Anästhesiologie und Intensivmedizin Qualitätsmanagement Leitung OP, Zentralsterilisation, HKL, Röntgen
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (17.04.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch (17.04.2023) |
| RM05 |
Pain management Qualitätsmanagementhandbuch (17.04.2023) |
| RM06 |
Fall prophylaxis Qualitätsmanagementhandbuch (17.04.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagementhandbuch (17.04.2023) |
| RM08 |
Regulated handling of custodial measures Qualitätsmanagementhandbuch (17.04.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch (17.04.2023) |
| 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 Qualitätsmanagementhandbuch (17.04.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagementhandbuch (17.04.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagementhandbuch (17.04.2023) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagementhandbuch (17.04.2023) |
| RM18 |
Discharge management Qualitätsmanagementhandbuch (17.04.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
u.a.: Checkliste Patientensicherheit, Informationsblätter für Patienten zu Sturz-, Schmerz- und Dekubitusprävention, Reanimationsteam, Regelmäßige Hygieneschulungen zur Vermeidung nosokomialer Infektionen, M&M-Konferenzen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.01.2021 |
| 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 jährlich |
Conference committee
Conference frequency: