Dealing with risks in patient care
Quality management
Heike Richthammer
Leiterin Qualitätsmanagement
Mercystraße 6 - 14
79100 Freiburg
Phone:
0761
-2711-2264
Mail:
ed.mukinilk-kkr@mq
Klinikleitung, Heike Richthammer (Leiterin QM) Themenbezogen: weitere Fachbereiche
Conference frequency: monatlich
Risk management
Heike Richthammer
Leiterin Qualitätsmanagement
Phone:
0761
-2711-2264
Fax: 0761-2711-782264
Mail:
ed.mukinilk-kkr@mq
Klinikleitung, Heike Richthammer (Leiterin QM) Themenbezogen: weitere Fachbereiche
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dokumentationswesen AKF (11.03.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Dokumentationswesen AKF (11.03.2024) |
| RM05 |
Pain management Dokumentationswesen AKF (11.03.2024) |
| RM06 |
Fall prophylaxis Dokumentationswesen AKF (11.03.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dokumentationswesen AKF (11.03.2024) |
| RM08 |
Regulated handling of custodial measures Dokumentationswesen AKF (11.03.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dokumentationswesen AKF (11.03.2024) |
| 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 Dokumentationswesen AKF (11.03.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Dokumentationswesen AKF (11.03.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Dokumentationswesen AKF (11.03.2024) |
| RM17 |
Standards for recovery and postoperative care Dokumentationswesen AKF (11.03.2024) |
| RM18 |
Discharge management Dokumentationswesen AKF (11.03.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Information an die betroffenen Bereiche im Bedarfsfall
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.11.2024 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association) |
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |