Dealing with risks in patient care

Quality management

Regina Brandolini

Qualitätsmanagement, Risikomanagement

Oberer Eselsberg 45
89081 Ulm

Phone: 0731 -177-1009
Mail: ed.ukr@inilodnarb.aniger

alle Abteilungen

Conference frequency: andere Frequenz

Risk management

Regina Brandolini

Qualitätsmanagement, Risikomanagement

Oberer Eselsberg 45
89081 Ulm

Phone: 0731 -177-1009
Mail: ed.ukr@inilodnarb.aniger

alle Abteilungen

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

VA Durchführung Qualitätsplanungsgespräch (05.07.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Medizinisches Notfallmanagement (16.05.2022)

RM05

Pain management

VA perioperative Schmerztherapie Teil 1 und Teil 2Schmerz (05.07.2022)

RM06

Fall prophylaxis

VA Sturzprophylaxe und Sturzerfassung (05.07.2022)

RM07

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

VA Dekubitusprophylaxe (05.07.2022)

RM08

Regulated handling of custodial measures

VA Patientenfixierung (05.07.2022)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensbeschreibungen im Medizinproduktehandbuch Samba (19.06.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
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

VA Anwendung OP-Checkliste (05.07.2022)

RM15

Preoperative, complete presentation of necessary findings

VA Anwendung der OP-Checkliste (05.07.2022)

RM16

Procedure to avoid procedural and patient mix-ups

VA Anwendung OP-Checkliste (05.07.2022)

RM17

Standards for recovery and postoperative care

SOP Aufwachraum postoperativ (05.07.2022)

RM18

Discharge management

VA Entlassmanagement (05.07.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Beispiele: Spezielle Schulungen, Beschaffung von Geräten, Dienstanweisung, Information der Mitarbeiter, Prozessanpassungen, Einsatz von spezieller Software zur Erhöhung der Arzneimitteltherapiesicherheit

No. Explanation
IF01

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

As of: 05.07.2022

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: 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)