Dealing with risks in patient care

Quality management

Dipl.-Psych. Stefan Richter

QMB

Heitere Weg 10
79183 Waldkirch

Phone: 07681 -208-1221
Mail: ed.hcazle-kinilk-hdb@rethcir.nafets

Kaufmännischer Leiter, Geschäftsführer, Ärztlicher Direktor, PDL, QMB

Conference frequency: bei Bedarf

Risk management

Daniel Charlton

Geschäftsführer

Phone: 07682 -801-1100
Mail: ed.hcazle-kinilk-hdb@notlrahc.leinad

Kaufmännischer Leiter, Geschäftsführer, Ärztlicher Direktor, PDL, QMB

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

Richtlinie Klinisches Risikomanagement (03.05.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Kontrollberichte EPZ (14.03.2022)

RM05

Pain management

Prozessbeschreibung Schmerztherapie (25.11.2021)

RM06

Fall prophylaxis

Sturzprophylaxe in der Pflege - orientiert am Nationalen Expertenstandard RKK (06.09.2022)

RM07

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

Standard Dekubitusprophylaxe (06.05.2022)

RM09

Regulated handling of occurring malfunctions of devices

Richtlinie: Umgang mit fehlerhaften Medizinprodukten (23.05.2022)

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

Handbuch OP (07.09.2021)

RM16

Procedure to avoid procedural and patient mix-ups

VA WHO-ChecklisteVA Patientenidentifikationsbänder (PIB) (31.01.2021)

RM17

Standards for recovery and postoperative care

Qualitätsmangementhandbuch Anästhesie (05.02.2021)

RM18

Discharge management

Prozessbeschreibung Entlassmanagement (03.02.2022)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Prozessanalyse zur Informationsweitergabe im Aufnahmeprozess

No. Explanation
IF02

Internal evaluation of the received reports

taken monatlich

Conference committee

Conference frequency: monatlich

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)