Dealing with risks in patient care
Quality management
Bernd Pfeuffer
Leitung Qualitätsmanagement
Krankenhausstraße 11
89231 Neu-Ulm
Phone:
0731
-92140619-
Mail:
ed.gnutfitslatipssierk@reffuefp.b
Cornelius Pfitzer
Leitung Qualitätsmanagement
Krankenhausstraße 11
89231 Neu-Ulm
Phone:
07309
-870-1260
Mail:
ed.gnutfitslatipssierk@reztifp.c
Stiftungsdirektion, Chefärzte, Pflegedirektion, sonstige beteiligte Personen
Conference frequency: quartalsweise
Risk management
Bernd Pfeuffer
Leitung Qualitätsmanagement
Phone:
0731
-92140619-
Mail:
ed.gnutfitslatipssierk@reffuefp.b
Cornelius Pfitzer
Leitung Qualitätsmanagement
Phone:
07309
-870-1260
Fax: 0-0-0
Mail:
ed.gnutfitslatipssierk@reztifp.c
Stiftungsdirektion, Chefärzte, Pflegedirektion, sonstige beteiligte Personen
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM05 |
Pain management Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM06 |
Fall prophylaxis Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (07.09.2022) |
| RM08 |
Regulated handling of custodial measures Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Wartungsarbeiten/technische Störungen/Fehlermeldungen (28.04.2020) |
| 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 Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM17 |
Standards for recovery and postoperative care Organisation Qualitätsmanagement - Krankenhaushandbuch CF3 (04.11.2021) |
| RM18 |
Discharge management Entlassmanagement (05.07.2019) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Qualitätszirkel
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 19.08.2022 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: