Dealing with risks in patient care
Quality management
Ltd. Oberarzt Thomas Meurer
Qualitätsmanagementbeauftragter
Hubertusstr. 40
82487 Oberammergau
Phone:
08822
-914-266
Mail:
ed.nekinilk-zw@reruem.samoht
Alle Abteilungen
Conference frequency: andere Frequenz
Risk management
Alle Abteilungen
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementkonzept, Risikomatrix (30.06.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung medizinischer Notfall (27.04.2019) |
| RM05 |
Pain management Verfahrensanweisung Schmerzmanagement (26.05.2020) |
| RM06 |
Fall prophylaxis Expertenstandard Pflege (26.05.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (26.05.2020) |
| RM08 |
Regulated handling of custodial measures Pflegestandard (26.05.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices MPG (15.06.2020) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| 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 WHO Checkliste (30.11.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO Checkliste (30.11.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Besprechung vor Operation (30.11.2018) |
| RM17 |
Standards for recovery and postoperative care OP-Überleitungsbogen (27.05.2020) |
| RM18 |
Discharge management Risikomanagementkonzept, Risikomatrix (30.06.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.04.2020 |
| 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 quartalsweise |
Conference committee
Conference frequency: quartalsweise
| 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) |