Dealing with risks in patient care

Quality management

Dorothea Bund

Qualitätsmanagementbeauftragte

Christian-Belser-Straße 79
70597 Stuttgart

Phone: 0711 -6781-708
Mail: ed.kinilkgrebnennos@dnuB.aehtoroD

Krankenhausbetriebsleitung Sonnenberg-Klinik

Conference frequency: wöchentlich

Risk management

Dorothea Bund

Qualitätsmanagementbeauftragte

Phone: 0711 -6781-708
Fax: 0711-6781-138
Mail: ed.kinilkgrebnennos@dnub.aehtorod

Krankenhausbetriebsleitung Sonnenberg-Klinik

Conference frequency: wöchentlich

Risk management instruments and measures

No. Explanation
RM01

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

Risikomanagement-Handbuch und Prozess Risikomanagement (01.11.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Konzept Klinisches Notfallmanagement (14.02.2022)

RM05

Pain management

Behandlungskonzept Schmerzstörungen - psychosomatisch orientierte Schmerztherapie Pflegediagnose chronischer Schmerz (01.11.2022)

RM06

Fall prophylaxis

Risikomanagement-Handbuch und Prozess Risikomanagement (01.11.2021)

RM07

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

Standard Dekubitusprophylaxe externe Qualitätssicherung (01.03.2022)

RM09

Regulated handling of occurring malfunctions of devices

Dienstanweisung zur Umsetzung des Medizinproduktedurchführungsgesetzes (12.02.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Andere
RM18

Discharge management

Prozess Entlassung (12.02.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

themenbezogene Prozessoptimierung

No. Explanation
IF01

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

As of: 29.06.2021

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: bei Bedarf

No. Explanation
EF02

CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors)