Dealing with risks in patient care

Quality management

Frau Tina Rottmann

Projektassistentin/QMB

Friedrichshafener Straße 82
88131 Lindau

Phone: 08382 -276-1213
Mail: moc.soipelksa@nnamttor.t

Frau Birgitta Enderle

Medizincontrolling

Friedrichshafener Straße 82
88131 Lindau

Phone: 08382 -2761251-
Mail: moc.soipelksa@elredne.b

Geschäftsführung, Pflegebereich, Ärztlicher Bereich, Betriebsrat, Qualitätsmanagement

Conference frequency: monatlich

Risk management

Tina Rottmann

Projektassistentin/QMB

Friedrichshafenerstr. 82
88131 Lindau

Phone: 08382 -276-1213
Fax: 08382-276-1219
Mail: moc.soipelksa@nnamttor.t

Birgitta Enderle

Medizincontrolling

Friedrichshafenerstr. 82
88131 Lindau

Phone: 08382 -2761251-
Mail: moc.soipelksa@elredne.b

Geschäftsführung, Pflegebereich, Ärztlicher Bereich, Betriebsrat, Qualitätsmanagement

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

AKG-KGF-KON-01 Konzept Klinisches Risikomanagement (11.04.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Medizinisches Notfallmanagement (09.12.2021)

RM05

Pain management

Konzept zur postoperativen Schmerztherapie (15.04.2021)

RM06

Fall prophylaxis

Expertenstandard Sturz (06.12.2022)

RM07

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

Expertenstandard Dekubitusprophylaxe (10.03.2023)

RM08

Regulated handling of custodial measures

AKG-V-VA-58_ Umgang mit freiheitsentziehenden Maßnahmen_V01-0.pdf (21.07.2021)

RM09

Regulated handling of occurring malfunctions of devices

Umgang mit defekten Medizinprodukten (03.11.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
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

CL OP 02 Sicherheits-Checkliste OP nach WHO (24.02.2022)

RM15

Preoperative, complete presentation of necessary findings

VA Asklepios Sicherheitscheckliste OP (11.01.2023)

RM16

Procedure to avoid procedural and patient mix-ups

VA Vermeidung einer Eingriffsverletzung (24.02.2022)

RM17

Standards for recovery and postoperative care

Checkliste Postoperatives Management (23.02.2023)

RM18

Discharge management

Expertenstandard - Entlassung (11.08.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Anpassung von Prozessen, Standards und Verfahrensanweisungen, Schulungen und Information, Reparaturen und bauliche Veränderungen.

No. Explanation
IF01

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

As of: 10.06.2022

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 halbjährlich

Conference committee

Conference frequency: monatlich

No. Explanation

Other

EF14

CIRS Health Care