Dealing with risks in patient care
Quality management
Anja Genz
Qualitätsmanagementbeauftragte
Hofgartenstraße 6
63739 Aschaffenburg
Phone:
06042
-86-413
Mail:
ed.scinilcnamgreb@zneG.ajnA
Besprechung zwischen QMB, QMF und VWL bei Bedarf eine externe Unterstützung durch die zentrale Stabsstelle QM.
Conference frequency: quartalsweise
Risk management
Verwaltungsdirektion, QMB, QMF, Fachbereichsleitung & CIRS Beauftragte, Ärztlicher Fachvertreter der Krankenhausabteilungen sowie bei Bedarf eine externe Unterstützung durch die zentrale Stabsstelle Risikomanagement.
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM05 |
Pain management QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM06 |
Fall prophylaxis QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM17 |
Standards for recovery and postoperative care QM Handbuch inkl. Risikomanagement (05.10.2021) |
| RM18 |
Discharge management QM Handbuch inkl. Risikomanagement (05.10.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Maßnahmen zur Verbesserung der Vorgehensweise bei Medikamentenunverträglichkeiten Maßnahmen zur Verbesserung der Vorgehensweise bei der präoperativen Patientenvorbereitung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 25.09.2022 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |