Dealing with risks in patient care

Quality management

Elena v. Brevern

QMB

Nibelungenstr. 49
94086 Bad Griesbach

Phone: 08532 -708-1133
Mail: ed.sakul-tknas-kinilkhcaf@nreverbnove

GF, PDL, ÄL, VL

Conference frequency: wöchentlich

Risk management

Elena v. Brevern

QMB

Nibelungenstr. 49
94086 Bad Griesbach

Phone: 08532 -708-1133
Mail: ed.sakul-tknas-kinilkhcaf@nreverbnove

GF, ÄL, PDL, VL

Conference frequency: wöchentlich

Risk management instruments and measures

No. Explanation
RM01

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

RM Doku QMH (01.10.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

PB Notfallmanagement, Roter Notfallordner (01.10.2023)

RM05

Pain management

FBL Schmerzskala (01.10.2023)

RM06

Fall prophylaxis

Sturzprophylaxe Aufklärung der Risiken bei Aufnahme (01.10.2023)

RM07

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

Expertenstandard Dekubitusprophylaxe in der Pflege (01.10.2023)

RM09

Regulated handling of occurring malfunctions of devices

PB Medizinprodukte (01.10.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Fallintervision und Fallsupervision
RM12

Use of standardised information sheets

RM18

Discharge management

Entlassmanagement für alle Patienten der Klinik (01.10.2023)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

FBL Interner Fehler

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 01.10.2023

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 monatlich

Conference committee

Conference frequency: bei Bedarf

No. Explanation

Other

EF03

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