Dealing with risks in patient care
Quality management
Dr. med. Christian Zimmermann
Qualitätsmanagement
Nürtinger Straße 20
70794 Filderstadt- Bernhausen
Phone:
07021
-88-44501
Mail:
ed.nekinilk-suidem@tnemeganamsteatilauq
Lenkungsgremium QM, Steuerungsgruppe
Conference frequency: quartalsweise
Risk management
Christian Zimmermann
Klinisches Risikomanagement
Nürtinger Straße 20
70794 Filderstadt-Bernhausen
Phone:
07021
-88-44500
Mail:
ed.nekinilk-suidem@nnamremmiz.c
Lenkungsgremium Risikomanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch, Risikomanagement Software (03.05.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Clinis-Clinic-Notfall-Informationssystem, , weitere Schulungen Reanimation, Notfallpläne (02.01.2023) |
| RM05 |
Pain management Schmerzleitfaden, Expertenstandard Schmerzmanagement (15.07.2024) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (31.07.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (25.07.2024) |
| RM08 |
Regulated handling of custodial measures Unternehmensanweisung Freiheitsbeschränkende Maßnahmen (25.08.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Patientenidentifikationsarmbänder, Simulationszimmer-Notfallsituation, WHO-OP Checkliste, Pflegequalität: Sturz, Schmerz, Dekubitus, MRE, Sicherung rationaler Antibiotika-Anwendung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.05.2024 |
| 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 bei Bedarf |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |