Dealing with risks in patient care
Quality management
Dr. Michael Krause
Ärztliches Qualitätsmanagement
Prof.-Ernst-Nathan-Str. 1
90419 Nürnberg
Phone:
0911
-3983521-
Mail:
ed.grebnreun-mukinilk@esuark.leahcim
Kai Ullrich
Qualitätsmanagement
Prof.-Ernst-Nathan-Str. 1
90419 Nürnberg
Phone:
0911
-398-7446
Mail:
ed.grebnreun-mukinilk@hcirllu.iak
Qualitätsmanagement, klinisches Risikomanagement, externe Qualitätssicherung
Conference frequency: monatlich
Risk management
Ulrike Arndt
Klinisches Risikomanagement
Phone:
0911
-3983842-
Mail:
ed.grebnreun-mukinilk@tdnra.ekirlu
Kai Ulrich
Klinisches Risikomanagement
Phone:
03987446
-3983842-
Mail:
ed.grebnreun-mukinilk@tdnra.ekirlu
Qualitätsmanagement, klinisches Risikomanagement, externe Qualitätssicherung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM05 |
Pain management Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM06 |
Fall prophylaxis Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM08 |
Regulated handling of custodial measures Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| 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 Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM17 |
Standards for recovery and postoperative care Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
| RM18 |
Discharge management Qualitäts- und Risikomanagement-Dokumentation Klinikum Nürnberg (01.09.2019) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
ProDema-Schulungen für Mitarbeiter zum Umgang mit aggressiven Verhaltensweisen von Patienten und Angehörigen Entwicklung von SOP´s zur Prozessverbesserung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.02.2012 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF14 |
CIRS Health Care |