Kliniken im Naturpark Altmühltal A.d.ö.R., Klinik Kösching

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Dienstanweisung Klinisches Risikomanagement - CIRS (01.07.2025)

Regular further education and training measures

Employee surveys

Clinical emergency management

Vorgehensweise im Notfall (15.01.2024)

Pain management

Standard: Schmerztherapie Standard: Umgang mit Schmerzkathetern Standard: Schmerztherapie Expertenstandard (28.05.2025)

Fall prophylaxis

Expertenstandard Sturzprophylaxe (31.07.2025)

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Expertenstandard Dekubitusprophylaxe (08.04.2025)

Regulated handling of custodial measures

Dienstanweisung zur Fixierung von Patienten (22.03.2024)

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medizintechnik Prozessbeschreibung Haustechnik (09.10.2023)

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

• Qualitätszirkel
• Tumorkonferenzen
• Mortalitäts- und Morbiditätskonferenzen
• Palliativbesprechungen
• Arbeitsgruppe CIRS

Use of standardised information sheets

Application of standardised surgical check lists

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

Dienstanweisung OP-Sicherheitscheckliste Transfusionsmedizinische Dienstanweisung Präoperative OP-Checkliste Präoperative Blutgruppenbestimmung und Blutkonserven (27.08.2025)

Preoperative, complete presentation of necessary findings

Präoperative OP-Checkliste (22.05.2025)

Procedure to avoid procedural and patient mix-ups

Dienstanweisung OP-Sicherheitscheckliste Patientensicherheitscheckliste WHO Patientenidentifikationsarmband Anwendung und Umgang (06.10.2023)

Standards for recovery and postoperative care

Standards Aufwachraum Pflegestandard: postoperative Pflegemaßnahmen im Aufwachraum (24.01.2025)

Discharge management

Handbuch Entlassungsmanagement (03.07.2023)

Documentation and procedural instructions for handling the error reporting system are available

As of: 06.10.2023

Internal evaluation of the received reports

taken quartalsweise

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken jährlich

CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association)