Dealing with risks in patient care
Quality management
Petra Schäfer
Leiterin Stabsstelle Qualitätsmanagement
Knopfweg 1
74821 Mosbach
Phone:
06222
-55-2029
Mail:
ed.hcolseiw-nzp@refeahcs.artep
Koordinationsgruppe Qualitätsmanagement: alle Kliniken, Ambulanzzentrum, Wohnheim, Stabsstelle Medizindirektion, Personalrat und Verwaltung
Conference frequency: monatlich
Risk management
Olivier Elmer
Organisationsentwickler/ klinischer Risikomanager
Knopfweg 1
74821 Mosbach
Phone:
06222
-55-2266
Fax: 06222-55-2484
Mail:
ed.hcolseiw-nzp@remle.reivilo
Koordinationsgruppe Qualitätsmanagement: alle Kliniken, Ambulanzzentrum, Wohnheim, Stabsstelle Medizindirektion, Personalrat und Verwaltung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikohandbuch ZfP BW (01.10.2019) |
| RM04 |
Clinical emergency management Konzept und elektronisches Handbuch" Medizinisches Notfallmanagement" (23.10.2020) |
| RM06 |
Fall prophylaxis Standard Nr. 4 Sturzprophylaxe (01.07.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Nr. 12 Dekubitusprophylaxe (05.11.2020) |
| RM08 |
Regulated handling of custodial measures Organisationsanweisung "Freiheitsentziehende bes. Sicherungsmaßnahmen" (12.06.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices OA Medizintechnik (24.09.2020) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Standard Nr. 7 Multiprofessionelles Entlassmanagement (23.12.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Alle Meldungen und abgeleitete Maßnahmen sind in einer CIRS Software dokumentiert
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.06.2020 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
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) |