Dealing with risks in patient care

Quality management

Franziska Exner

Abteilungsleiterin Stabsstelle für Qualitäts- und Risikomanagement

Prof.-Küntscher-Straße 8
82418 Murnau

Phone: 08841 -48-2254
Mail: ed.uanrum-ugb@MQ

Krankenhausleitung, Stabsstelle Qualitäts- und Risikomanagement

Conference frequency: andere Frequenz

Risk management

Franziska Exner

Abteilungsleiterin Stabsstelle für Qualitäts- und Risikomanagement

Phone: 08841 -48-2254
Mail: ed.uanrum-ugb@MQ

Krankenhausleitung, Stabsstelle Qualitäts- und Risikomanagement

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM05

Pain management

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM06

Fall prophylaxis

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM07

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

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM08

Regulated handling of custodial measures

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM09

Regulated handling of occurring malfunctions of devices

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • 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

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM15

Preoperative, complete presentation of necessary findings

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM16

Procedure to avoid procedural and patient mix-ups

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM17

Standards for recovery and postoperative care

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

RM18

Discharge management

BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

Fallbezogene Besprechungen und Schulungen

No. Explanation
IF01

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

As of: 16.05.2024

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 bei Bedarf

Conference committee

Conference frequency: andere Frequenz

No. Explanation
EF03

KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)