Dealing with risks in patient care

Quality management

Marco Sansoni

Leitung Projekte, Qualität und Prozesse

Günzburger Straße 41
89264 Weißenhorn

Phone: 07309 -870-1112
Mail: ed.gnutfitslatipssierk@inosnas.m

Stiftungsdirektion, Chefärzte, Pflegedirektion, Qualitätsmanagement, sonstige beteiligte Personen

Conference frequency: quartalsweise

Risk management

Marco Sansoni

Leitung Projekte, Qualität und Prozesse

Phone: 07309 -870-1112
Mail: ed.gnutfitslatipssierk@inosnas.m

Stiftungsdirektion, Chefärzte, Pflegedirektion, Qualitätsmanagement, sonstige beteiligte Personen

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (19.08.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Alarm- und Einsatzplan (12.12.2024)

RM05

Pain management

Schmerztherapie ambulante und stationäre Patienten (06.12.2022)

RM06

Fall prophylaxis

Sturzprophylaxe (25.08.2025)

RM07

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

Dekubitusprophylaxe (10.06.2024)

RM08

Regulated handling of custodial measures

Freiheitsentziehende Maßnahmen (19.08.2024)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

SOP Patientenidentifikation (25.06.2025)

RM17

Standards for recovery and postoperative care

Patientenfragebogen Aufwachraum (01.02.2024)

RM18

Discharge management

KP 3 Entassmanagement Akut-Haus (19.08.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Qualitätszirkel

No. Explanation
IF01

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

As of: 07.08.2025

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: