Dealing with risks in patient care

Quality management

Lydia Maurer

Leitung Qualitätsmanagement und Risikomanagement

Luitpoldstrasse 14
76870 Kandel

Phone: 07275 -71-2600
Mail: moc.soipelksa@reruam.l

Geschäftsleitung, Ärztliche Direktoren, PDL, Qualitätsmanagement

Conference frequency: bei Bedarf

Risk management

Lydia Maurer

Leitung Qualitätsmanagement und Risikomanagement

Luitpoldstraße 14
76870 Kandel

Phone: 07275 -71-2600
Fax: 07275-71-2603
Mail: moc.soipelksa@reruam.l

Geschäftsleitung, Ärztliche Direktoren, PDL, Qualitätsmanagement

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

Konzept Strategie Klinisches Risikomanagement Asklepios Südpfalzkliniken (30.01.2025)

RM02

Regular further education and training measures

RM04

Clinical emergency management

VA Innerklinisches Notfallmanagement (21.06.2024)

RM05

Pain management

Medikamentöse Schmerztherapie (02.10.2024)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe (26.08.2024)

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 (22.07.2024)

RM08

Regulated handling of custodial measures

VA Fixierung eines Patienten (13.07.2021)

RM09

Regulated handling of occurring malfunctions of devices

Medizinproduktesicherheit (16.11.2025)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
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

VA Asklepios Sicherheitscheckliste OP (21.06.2024)

RM15

Preoperative, complete presentation of necessary findings

Konzept Klinisches Risikomanagement Asklepios Kliniken (23.03.2023)

RM16

Procedure to avoid procedural and patient mix-ups

Vermeidung einer Eingriffsverwechlung (15.07.2024)

RM17

Standards for recovery and postoperative care

Postoperative pflegerische Nachsorge (31.08.2020)

RM18

Discharge management

VA Entlassmanagement (14.02.2023)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

"Stop inject check" zur Vermeidung von i.V. Medikationsfehlern; Verfahrensanweisung zur digitalen Dokumentation

No. Explanation
IF01

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

As of: 21.10.2024

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 quartalsweise

Conference committee

Conference frequency: quartalsweise

No. Explanation

Other

EF14

CIRS Health Care