Dealing with risks in patient care

Quality management

Theresa Aiblinger

Qualitätsmanagementbeauftragte

Ströbinger Straße 18a
83093 Bad Endorf

Phone: 08053 -200-562
Mail: ed.kinilk-eessmis@regnilbia.t

Geschäftsführung und Zentrales QM

Conference frequency: quartalsweise

Risk management

Theresa Aiblinger

Qualitätsmanagementbeauftragte

Phone: 08053 -200-562
Fax: 08053-200-44597
Mail: ed.kinilk-eessmis@regnilbia.t

Chefarzt, PDL, Abteilungsleitung Patientenservice, Oberärztin

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

GWC_PB_Klinisches_Risiko-und Fehlermanagement (kRM) (21.04.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

SKE_PB_Medizinischer Notfall (12.01.2023)

RM07

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

SKE_PS_Dekubitusprophylaxe (30.06.2023)

RM08

Regulated handling of custodial measures

SKE_PS_Umgang_mit_Freiheitsentziehenden_Maßnahmen (16.05.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Interdisziplinäre Fallbesprechungen: - ANOA Besprechungen - Frührehabesprechungen - Multimodale Schmerztherapie Besprechungen - Teambesprechungen in der Psychosomatik
RM18

Discharge management

SKE_OAM_PB_pflegerisch_ärztliche_Entlassung & SKE_PSY_PB_Ärztl.-Therap.-Pfleger.- Entlassung (03.04.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

z.B. Medikamentenmanagement

No. Explanation
IF01

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

As of: 12.04.2023

Conference committee

Conference frequency: monatlich

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)