Dealing with risks in patient care
Quality management
Dr. D. Albrecht
Ärztlicher Leiter
Listplatz 1
72764 Reutlingen
Phone:
07121
-2135-0
Mail:
ed.kinilk-uabneznirpnork@maet
Ärzte, leitende MFA (QMB), Stationsleitung (QMB)
Conference frequency: quartalsweise
Risk management
D. Albrecht
Ärztlicher Leiter
Phone:
07121
-2135-0
Fax: 07121-3125-0
Mail:
ed.kinilk-uabneznirpnork@maet
Ärzte, leitende MFA (QMB), Stationsleitung (QMB)
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM05 |
Pain management Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM06 |
Fall prophylaxis Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM08 |
Regulated handling of custodial measures Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| 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 Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM17 |
Standards for recovery and postoperative care Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
| RM18 |
Discharge management Qualitäts- und Risikomanagement-Handbuch (30.04.2018) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Einhaltung der Infektionshygiene nach §§23 u. 36 Infektionsschutzgesetz; Checklisten und Verfahrensanweisungen zur Instrumentenhygiene, hygienischen Flächenreinigung; Infektionsschutz Personal, Maßnahmen nach Stichverletzungen etc. im Rahmen des Qualitätsmanagements (QM).
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.01.2017 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken halbjährlich |
Conference committee
Conference frequency: