Dealing with risks in patient care

Quality management

Michael Tartsch

Projektleiter Qualitäts- und Risikomanagement

Ebersberg 36
86637 Wertingen

Phone: 08272 -998-306
Mail: ed.wdhk@hcstrat.leahcim

QM-Beauftragte der Stationen und Funktionsbereiche, regelmäßiger Jour fixe mit der Geschäftsführung

Conference frequency: monatlich

Risk management

Michael Tartsch

Projektleiter Qualitäts- und Risikomanagement

Ebersberg 36
86637 Wertingen

Phone: 08272 -998-306
Fax: 08272-998-111
Mail: ed.wdhk@hcstrat.leahcim

CIRS-Beauftragte (zusätzlich monatlicher Jour fixe mit der Geschäftsführung)

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

DP-Reanimation 1 (29.07.2013)

RM05

Pain management

ST-Pflege 13 Umgang mit Schmerzen (12.10.2012)

RM06

Fall prophylaxis

ST-Pflege 06 Sturzprophylaxe (30.03.2010)

RM07

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

Expertenstandard Dekubitusprophylaxe in der Pflege (09.12.2021)

RM08

Regulated handling of custodial measures

FI337 Genehmigung von freiheitsentziehenden Maßnahmen (24.07.2015)

RM09

Regulated handling of occurring malfunctions of devices

DA-Bü 04 Handhabung von Medizinprodukten (31.05.2010)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Roxtra-ID 3898 OP-Checkliste Patientensicherheit (01.07.2021)

RM18

Discharge management

Häuserübergreifender Prozess Entlassmanagement (20.09.2018)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

standortübergreifende Vereinheitlichung von Perfusorsystemen

No. Explanation
IF01

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

As of: 06.10.2023

IF02

Internal evaluation of the received reports

taken quartalsweise

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: quartalsweise

No. Explanation
EF14

CIRS Health Care