Dealing with risks in patient care
Quality management
Frank Flemisch
Leitung Qualitätsmanagement
Günzburger Straße 41
89264 Weißenhorn
Phone:
07309
-870-1260
Mail:
ed.gnutfitslatipssierk@hcsimelf.f
Stiftungsdirektion, Chefärzte, Pflegedirektion, Qualitätsmanagement, sonstige beteiligte Personen
Conference frequency: quartalsweise
Risk management
Frank Flemisch
Leitung Qualitätsmanagement
Phone:
07309
-870-1260
Fax: 07309-870-1995
Mail:
ed.gnutfitslatipssierk@hcsimelf.f
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. (25.10.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
| RM05 |
Pain management Schmerztherapie ambulante und stationäre Patienten (06.12.2022) |
| RM06 |
Fall prophylaxis Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
| RM08 |
Regulated handling of custodial measures Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
| RM17 |
Standards for recovery and postoperative care Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
| RM18 |
Discharge management Krankenhaushandbuch, CIRS, Fehlermanagement, Maßnahmenplanung, Dokumentenmanagement, Rückmeldemanagement, Risikomanagement, Prozessmanagement. (25.10.2021) |
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: 11.04.2022 |
| 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: