Dealing with risks in patient care
Quality management
Dipl.Psych. Stefan Krischker
Stabstelle QM
Universitätsstraße 84
93053 Regensburg
Phone:
0941
-941-0
Mail:
ed.obdem@rekhcsirk.nafets
Dipl.Psych. S. Krischker
Stabstelle QM
Universitätsstraße 84
93053 Regensburg
Phone:
0941
-941-0
Mail:
ed.obdem@ofni
Vorstand und Geschäftsbereiche Medizinischer Dienst, Pflegedienst, Personal, Wirtschaft und Finanzen
Conference frequency: monatlich
Risk management
Bettina Hübner-Liebermann
Stabstelle RM
Universitätsstraße 84
93053 Regensburg
Phone:
0941
-941-0
Mail:
ed.obdem@ofni
B. Hübner-Liebermann
Stabstelle RM
Universitätsstraße 84
93053 Regensburg
Phone:
0941
-941-0
Mail:
ed.obdem@ofni
Vorstand und Geschäftsbereiche Medizinischer Dienst, Pflegedienst, Personal, Wirtschaft und Finanzen
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinische Notfallordnung (01.03.2013) |
| RM05 |
Pain management Pflegeleitlinie Schmerzmanagement (15.07.2015) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (09.05.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (15.08.2013) |
| RM08 |
Regulated handling of custodial measures VA Freiheitsentziehende Maßnahmen (08.12.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Betreiben und Anwenden von Medizinprodukten (22.07.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement (15.07.2015) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Audits Compliance Händehygiene; Neurologie: Sicherheit durch besonders hohe Personalqualifikation (Fachkraftquote bis 70%); Neuro-Reha: Schulungen/Maßnahmen zu den Themen Stürze, Isolierungen und Medikamentensicherheit, Niedrigflurbetten, Sturzmatten; Kinder- und Jugendpsychiatrie: Professionelles Deeskalationsmanagement (ProDeMa); Psychiatrie: ProDeMa
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.04.2019 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: bei Bedarf
| 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) |