Dealing with risks in patient care
Quality management
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
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 Hessing Stiftung (07.08.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallstufenplan für das Hessing-Klinik-Notfallteam (22.06.2021) |
| RM05 |
Pain management Pflegestandart zum Schmerzmanagement (01.02.2021) |
| RM06 |
Fall prophylaxis Pflegestandart Sturzprophylaxe- und Versorgung (24.06.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandart Dekubitusprophylaxe- und Versorgung (10.09.2024) |
| RM08 |
Regulated handling of custodial measures Geregelter Umgang mit freiheitsentziehenden Maßnahmen im QM-Portal Hessing Stiftung aktuell in Revision (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: 05.10.2022 |
| 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: jährlich
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |