Dealing with risks in patient care

Quality management

Beate Bünau

Qualitätsbeauftragte

Frankfurter Straße 33
64732 Bad König

Phone: 06063 -501202-
Mail: moc.soipelksa@uaneub.b

Chefärzte, PDL, Therapeutische Leitung, Geschäftsführung, Qualitätsmanagement, b.B. relevante, andere Bereiche, BR

Conference frequency: quartalsweise

Risk management

Michael Hartwich

Ärztlicher Direktor, Chefarzt Neurologie

Frankfurter Str. 33
64732 Bad König

Phone: 06063 -501362-
Mail: moc.soipelksa@hciwtrah.m

Chefärzte, PDL, Therapeutische Leitung, Geschäftsführung, Qualitätsmanagement, b.B. relevante, andere Bereiche, BR

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Klinikübergreifendes Konzept Risikomanagement vom Asklepios Konzern (30.05.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

AA - Verhalten im med. Notfall (29.06.2022)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe (28.01.2021)

RM07

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

AA- Decubitusprophylaxe vom 2021-06-28 Aufnahme eines Patienten - 2020-08-31 Wunddokumentation (30.11.2020)

RM08

Regulated handling of custodial measures

VA-Umgang mit freiheitsentziehenden Maßnahmen (14.09.2021)

RM09

Regulated handling of occurring malfunctions of devices

VA-Umgang mit defekten Geräten (10.02.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Team- Besprechung 1 x wöchentlich
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

VA-Patientenidentifikationsarmband 2021-08-04, Konzernweite AKG-KGF-VA-33 Vermeidung einer Eingriffsverwechslung (20.01.2022)

RM18

Discharge management

Entlassungsmanagement 2. stationäre Entlassung 3. häusliche Entlassung (02.11.2021)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Risikobeurteilung ARC, CIRS

No. Explanation
IF01

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

As of: 30.05.2022

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 quartalsweise

Conference committee

Conference frequency: monatlich

No. Explanation

Other

EF14

CIRS Health Care