Dealing with risks in patient care
Quality management
Herr Alexander Frank
Standortverantwortlicher Qualitätsmanager
Ketschendorfer Straße 33
96450 Coburg
Phone:
09561
-22-7430
Mail:
ed.nekinilk-demoiger@knarf.rednaxela
Krankenhausdirektorin Ärztlicher Direktor Pflegedirektorin Verwaltungsleiter Qualitätsmanager Klinikum Coburg
Conference frequency: quartalsweise
Risk management
Alexander Frank
Standortverantwortlicher Qualitätsmanager
96450 Coburg
Phone:
09561
-22-7430
Mail:
ed.nekinilk-demoiger@knarf.rednaxela
Krankenhausdirektorin Ärztlicher Direktor Pflegedirektorin Verwaltungsleiter Qualitätsmanager Klinikum Coburg
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualido Infoboard (28.11.2016) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Qualido Infoboard (28.11.2016) |
| RM05 |
Pain management Qualido Infoboard (28.11.2016) |
| RM06 |
Fall prophylaxis Qualido Infoboard (28.11.2016) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualido Infoboard (28.11.2016) |
| RM08 |
Regulated handling of custodial measures Qualido Infoboard (28.11.2016) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualido Infoboard (28.11.2016) |
| 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 Qualido Infoboard (28.11.2016) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualido Infoboard (28.11.2016) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualido Infoboard (28.11.2016) |
| RM17 |
Standards for recovery and postoperative care Qualido Infoboard (28.11.2016) |
| RM18 |
Discharge management Qualido Infoboard (28.11.2016) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
- Einsatz einer OP-Checkliste - mfd Eingriffsverwechslungen - Patientenidentifikationsarmband - Sturzrisikoeinschätzung - VA Expertenstandard Sturz - Prae-, intra- und postoperative Zählkontrollen bei chirurgischen Eingriffen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.05.2014 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |