Dealing with risks in patient care

Quality management

Anna Repa

Patientenmanagerin

Schönfeldstraße 16
80539 München

Phone: 089 -23688-525
Mail: ed.munihpesoj@anna.aper

Rebecca Vorwald

Qualitätsmanagementbeauftragte

Schönfeldstraße 16
80539 München

Phone: 089 -23688-522
Mail: ed.munihpesoj@gnurehcis-q

Bastian Gareis

Kaufmännischer Leiter

Schönfeldstraße 16
80539 München

Phone: 089 -23688-500
Mail: ed.munihpesoj@tairaterkes

QMB, Klinikleitung, Verantwortliche aus den Abteilungen

Conference frequency: bei Bedarf

Risk management

Marius Herrmann

Ärztlicher Vorstand

Schönfeldstraße 16
80359 München

Phone: 089 -23688-0
Fax: 089-23688-580
Mail: ed.munihpesoj@ofni

Rebecca Vorwald

Qualitätsmanagementbeauftragte

Schönfeldstraße 16
80359 München

Phone: 089 -23688-522
Fax: 089-23688-582
Mail: ed.munihpesoj@gnurehcis-q

Bastian Gareis

Kaufmännischer Leiter

Schönfeldstraße 16
80359 München

Phone: 089 -23688-500
Mail: ed.munihpesoj@tairaterkes

je nach Bedarf

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM04

Clinical emergency management

Notfallmanagement (31.12.2022)

RM05

Pain management

Schmerzmanagement (31.12.2022)

RM06

Fall prophylaxis

Standard (31.12.2022)

RM07

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

Dekubitusprophylaxe (31.12.2022)

RM08

Regulated handling of custodial measures

Freiheitsentziehende Maßnahmen (31.12.2022)

RM09

Regulated handling of occurring malfunctions of devices

Anästhesie Besprechungen (31.12.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Palliativbesprechungen
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

Präoperative Checkliste (31.12.2022)

RM15

Preoperative, complete presentation of necessary findings

Präoperative "OP-Checkliste Team Time Out" (31.12.2022)

RM16

Procedure to avoid procedural and patient mix-ups

OP- Checkliste: "OP-Checkliste Team Time Out" (31.12.2022)

RM17

Standards for recovery and postoperative care

Postoperative Verordnungen (31.12.2022)

RM18

Discharge management

Entlassungsmanagementkonzept in der Klinik (31.12.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Anpassung der Team Time Out Checkliste.

No. Explanation
IF02

Internal evaluation of the received reports

taken bei Bedarf

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: