Dealing with risks in patient care

Quality management

Frau Sarah Spies

QMB

Vulpiusstraße 29
74906 Bad Rappenau

Phone: 07264 -60-304
Mail: ed.kinilksuipluv@seips.haras

Pflege Ambulanz Ärzte Verwaltung Anästhesie

Conference frequency: quartalsweise

Risk management

Sarah Spies

QMB


74904 Bad Rappenau

Phone: 07264 -60-304
Fax: 07264-60-162
Mail: ed.kinilksuipluv@seips.haras

Pflege Ambulanz Ärzte Verwaltung Anästhesie

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM05

Pain management

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM06

Fall prophylaxis

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM07

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

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM08

Regulated handling of custodial measures

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
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

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM15

Preoperative, complete presentation of necessary findings

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM16

Procedure to avoid procedural and patient mix-ups

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM17

Standards for recovery and postoperative care

Qualitätsmanagementhandbuch V15 (16.09.2025)

RM18

Discharge management

Qualitätsmanagementhandbuch V15 (16.09.2025)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

CIRS: Berichtsystem zur anonymen Meldung von kritischen Ereignissen und Beinahe-Schäden.

No. Explanation
IF01

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

As of: 31.08.2025

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 jährlich

Conference committee

Conference frequency: