Krankenhaus Grafenau

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

Dokumentenlenkungssystem. Interne Audits. Hygienemanagement. Beschwerdemanagement. (15.03.2022)

Regular further education and training measures

Employee surveys

Clinical emergency management

Medizinisches Notfallmanagement. Reanimationsprotokoll. (01.12.2021)

Pain management

Schmerzmanagement (03.11.2020)

Fall prophylaxis

Sturzprophylaxe (22.08.2023)

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

Expertenstandard Dekubitus (15.09.2023)

Regulated handling of custodial measures

Freiheitsentziehende Maßnahmen (24.08.2022)

Regulated handling of occurring malfunctions of devices

Dienstanweisung aktive Medizinprodukte (15.11.2019)

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

• Qualitätszirkel
• Tumorkonferenzen
• Mortalitäts- und Morbiditätskonferenzen
• Pathologiebesprechungen
• Palliativbesprechungen
• CIRS-Fallbesprechungen

Use of standardised information sheets

Application of standardised surgical check lists

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

Team Time Out (07.04.2020)

Preoperative, complete presentation of necessary findings

OP-Checkliste (25.05.2020)

Procedure to avoid procedural and patient mix-ups

Patientenarmband. OP-Checkliste. (15.11.2022)

Standards for recovery and postoperative care

Aufwachraum. Intensivstation. (09.09.2020)

Discharge management

Entlassmanagement (12.05.2021)

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

As of: 17.02.2020

Internal evaluation of the received reports

taken quartalsweise

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken bei Bedarf