Dealing with risks in patient care
Quality management
Prof. Dr. med. Stephan Vogt
Leitung Qualitätsmanagement
Hessingstraße 17
86199 Augsburg
Phone:
0821
-909-244
Mail:
ed.gnutfits-gnisseh@retlanieR.enomiS
Susanne Fink
Qualitätsmanagement
Hessingstraße 17
86199 Augsburg
Phone:
0821
-909-498
Mail:
ed.gnutfits-gnisseh@kniF.ennasuS
Qualitätsmanagementbeauftragte der Bereiche/ Abteilungen
Conference frequency: quartalsweise
Risk management
Jürgen Göttfert
Risikomanager Hessing Stiftung
86199 Augsburg
Phone:
0821
-909-205
Fax: 0821-909-93205
Mail:
ed.gnutfits-gnisseh@treftteog.negreuj
Risikomanagementbeauftragter steuert die identifizierten klinischen Risiken. Beteiligte des Lenkungsgremiums sind alle Risikobeauftragten der klinischen Abteilungen.
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement-Software und QM Portal (13.12.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Portal Hessing Stiftung (22.06.2021) |
| RM05 |
Pain management QM-Portal Hessing Stiftung (01.02.2021) |
| RM06 |
Fall prophylaxis QM-Portal Hessing Stiftung (28.09.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Portal Hessing Stiftung (12.05.2020) |
| RM08 |
Regulated handling of custodial measures QM-Portal Hessing Stiftung (05.03.2013) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Portal Hessing Stiftung (15.12.2020) |
| 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 QM-Portal Hessing Stiftung (14.10.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Portal Hessing Stiftung (01.10.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Portal Hessing Stiftung (08.12.2022) |
| RM17 |
Standards for recovery and postoperative care QM-Portal Hessing Stiftung (01.03.2021) |
| RM18 |
Discharge management QM-Portal der Hessing Stiftung (14.05.2020) |
Fault reporting systems
Conference committee
Conference frequency: jährlich
Measures
systematische und strukturierte patientenbezogene Fehlererfassung via CIRS und Vorfallsmanagement
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.10.2020 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: jährlich
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |