Dealing with risks in patient care
Quality management
Herr Rainer Falk
Leitung Stabsstelle Qualitäts-, Risiko- und Prozessmanagement
Schloßhaustraße 100
89522 Heidenheim
Phone:
07321
-33-2006
Mail:
ed.miehnedieh-nekinilk@klaf.reniar
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin, Betriebsratsvorsitzender, Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management
Rainer Falk
Leitung Stabsstelle Qualitäts-, Risiko- und Prozessmanagement
Phone:
07321
-33-2006
Fax: 07321-33-62702
Mail:
ed.miehnedieh-nekinilk@klaf.reniar
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin, Betriebsratsvorsitzender, Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement-Handbuch (15.10.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Risikomanagement-Handbuch (15.10.2023) |
| RM05 |
Pain management Pflegestandard Schmerzmanagement (5269) ,Fachklinikspezifische Schmerzkonzepte (11.07.2025) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (8450) (15.09.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (5247) (22.12.2023) |
| RM08 |
Regulated handling of custodial measures VA Freiheitsentziehende Maßnahmen (FEM) (48968); SOP Zwangsmaßnahmen / Fixierung (39400) (23.09.2025) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagement-Handbuch (15.10.2023) |
| 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 SOP Präoperative Untersuchung (11.10.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Risikomanagement-Handbuch (15.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Risikomanagement-Handbuch (15.10.2023) |
| RM17 |
Standards for recovery and postoperative care Risikomanagement-Handbuch (15.10.2023) |
| RM18 |
Discharge management Risikomanagement-Handbuch (15.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
OP-Checkliste, Checkliste Aufklärungspflichtige Untersuchungen mit Team-Time-Out, Patientenidentifikationsbänder, Vier-Augen-Prinzip bei der Medikamentenstellung,
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.09.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |