Dealing with risks in patient care

Quality management

PD Dr. med. Darius Kubulus

Leitung Zentrales OP-Management und Qualitätsmanagement

Kirrberger Straße 100
66421 Homburg

Phone: 06841 -16-30510
Mail: ue.sku@sulubuk.suirad

Chirurgisches Zentrum; Zentrum für Frauen, Kinder und Adoleszente; Zentrum für Innere Medizin; Interdisziplinäres Zentrum; Neurozentrum; Radiologisches Zentrum; Zentrum für Infektionskrankheiten; Zentrum für Zahn-, Mund- und Kieferheilkunde; Zentrum für Pathologie und Rechtsmedizin.

Conference frequency: quartalsweise

Risk management

Patrick Höchst

Klinischer Risikomanager

Kirrberger Straße 100
66421 Homburg

Phone: 06841 -16-37721
Fax: 06841-16-30511
Mail: ue.sku@tshceoh.kcirtap

Chirurgisches Zentrum; Zentrum für Frauen, Kinder und Adoleszente; Zentrum für Innere Medizin; Interdisziplinäres Zentrum; Neurozentrum; Radiologisches Zentrum; Zentrum für Infektionskrankheiten; Zentrum für Zahn-, Mund- und Kieferheilkunde; Zentrum für Pathologie und Rechtsmedizin.

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

QM-Portal (30.10.2017)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Notfallinformation und Katastropheneinsatzplan (15.12.2017)

RM07

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

QM-Portal (30.10.2017)

RM09

Regulated handling of occurring malfunctions of devices

QM-Portal (30.10.2017)

RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

QM-Portal (30.10.2017)

RM18

Discharge management

Entlassmanagement am UKS (13.09.2017)

Fault reporting systems

Conference committee

Conference frequency: wöchentlich

Measures

Patientenidentifikationsarmbänder, Patientenbefragung, Safe Surgery Chesckliste und Beschwerdemanagement.

No. Explanation
IF01

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

As of: 01.05.2014

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 quartalsweise

Conference committee

Conference frequency: bei Bedarf

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)