Dealing with risks in patient care
Quality management
Annette Mühlberger
QM-Beauftragte
Krankenhausstraße 2
93086 Wörth a. d. Donau
Phone:
09482
-202-115
Mail:
ed.htreow-kinilksierk@regreblheum
Alle Berufsgruppen des Hauses
Conference frequency: bei Bedarf
Risk management
Helmut Zitzmann
QM-Beauftragter, Risikomanager
Krankenhausstraße 2
93086 Wörth a. d. Donau
Phone:
09482
-202-235
Fax: 09482-202-261
Mail:
ed.htreow-kinilksierk@nnamztiz
Annette Mühlberger
Risikomanagerin
Krankenhausstraße 2
93086 Wörth a. d. Donau
Phone:
09482
-202-115
Mail:
ed.htreow-kinilksierk@regreblheum
Alle Berufsgruppen des Hauses
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (07.04.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Internes Notfallkonzept (08.04.2019) |
| RM05 |
Pain management Schmerztherapie EPZ / ZFS (und andere) (01.08.2023) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (19.10.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (01.08.2022) |
| RM08 |
Regulated handling of custodial measures Fixierung von Patienten (24.06.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (06.02.2020) |
| 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 tägliche OP-Vorbesprechung (OP's vom nächsten Tag werden besprochen) Arbeitsliste täglich (02.03.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Akten-Checklisten (15.03.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenarmband (13.02.2023) |
| RM17 |
Standards for recovery and postoperative care Aufwachraum und postoperative Versorgung (04.02.2020) |
| RM18 |
Discharge management Mehrere SOP (12.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Umsetzungen der Empfehlungen des Aktionsbündnisses für Patientensicherheit (Patientenarmbänder, Team-Time-Out, etc.), OP-Checkliste nach WHO
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 17.02.2021 |
| 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 monatlich |
Conference committee
Conference frequency: