Dealing with risks in patient care
Quality management
Michael Tartsch
Projektleiter Qualitäts- und Risikomanagement
Ziegelstraße 38
89407 Dillingen a.d. Donau
Phone:
09071
-57-8265
Mail:
ed.wdhk@hcstrat.leahcim
QM-Beauftragte der Stationen / Funktionsbereiche, regelmäßiger Jour fixe mit der Geschäftsführung
Conference frequency: monatlich
Risk management
Michael Tartsch
Projektleiter Qualitäts- und Risikomanagement
89407 Dillingen
Phone:
09071
-57-8265
Fax: 09071-57-234
Mail:
ed.wdhk@hcstrat.leahcim
CIRS-Beauftragte (zusätzlich monatlicher Jour fixe mit der Geschäftsführung)
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Leitfaden zum Abgeben einer CIRS-Meldung (06.10.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management S-KH Reanimation (24.08.2015) |
| RM05 |
Pain management Leitfaden zum Abgeben einer CIRS-Meldung (06.10.2023) |
| RM06 |
Fall prophylaxis ID 6241 (22.12.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Leitfaden zum Abgeben einer CIRS-Meldung (06.10.2023) |
| RM08 |
Regulated handling of custodial measures ID 5167 Freiheitsentziehende Maßnahmen - Standard (13.10.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices ID 13388 Ausmusterung aktiver Medizinprodukte (13.03.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups ID 761/799 OP-Sicherheitscheckliste (27.01.2020) |
| RM17 |
Standards for recovery and postoperative care Prozessbeschreibung Patientenbetreuung im Aufwachraum (08.06.2015) |
| RM18 |
Discharge management ID 15846 Ablauf Zentrales Entlassmanagement (21.12.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
standortübergreifende Vereinheitlichung von Perfusorsystemen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.10.2023 |
| 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 |
|---|---|
| EF14 |
CIRS Health Care |