Dealing with risks in patient care
Quality management
Claudia Luippold
QM-Beauftragte
Paul-Lechler-Straße 26
72076 Tübingen
Phone:
07071
-206457-
Mail:
ed.kinilkneport@dloppiul
Geschäftsführung, Pflegedienstleitung, ärztliche Leitung, Mitarbeitervertretung
Conference frequency: monatlich
Risk management
Geschäftsführung, Pflegedienstleitung, ärztliche Leitung, Mitarbeitervertretung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch, DIN ISO 9001-2015 (25.05.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Alarmplan, Notfallalarmierungsplan, Notfallstruktur (14.04.2022) |
| RM05 |
Pain management Schmerzmanagement in der Pflege (29.07.2021) |
| RM06 |
Fall prophylaxis Sturzprophylaxe und Risikofaktoren (23.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (07.04.2022) |
| RM08 |
Regulated handling of custodial measures Durchführung von FEM (22.06.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Meldeweg Vorkommnisse mit Medizinprodukten (03.03.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups Handbuch Qualitätsmanagement (25.05.2023) |
| RM18 |
Discharge management Entlassungsmanagement (21.01.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Einführung E-Pflegeprozess, E-Wunddokumentation,
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 23.05.2023 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |