Dealing with risks in patient care
Quality management
Peter Kossack
Ltg. QM-Stabsstelle Qualitäts- und Risikomanagement
Prof.-Küntscher-Straße 8
82418 Murnau
Phone:
08841
-48-2254
Mail:
ed.uanrum-ugb@s-mq
Franziska Exner
Abteilungsleiterin Stabsstelle für Qualitäts- und Risikomanagement
Prof.-Küntscher-Straße 8
82418 Murnau
Phone:
08841
-48-2254
Mail:
ed.uanrum-ugb@MQ
Geschäftsführung, Stabsstelle für Qualitäts- und Risikomanagement, Qualitätsbeauftragte,
Conference frequency: andere Frequenz
Risk management
Peter Kossack
Ltg. QM-Stabsstelle Qualitäts- und Risikomanagement
Phone:
08841
-48-2254
Fax: 08841-48-2248
Mail:
ed.uanrum-ugb@s-mq
Franziska Exner
Abteilungsleiterin Stabsstelle für Qualitäts- und Risikomanagement
Phone:
08841
-48-2254
Mail:
ed.uanrum-ugb@MQ
Geschäftsführung, Stabsstelle für Qualitäts- und Risikomanagement, Qualitätsbeauftragte,
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Handbuch RM Risikomanagement (05.01.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management SOP AIS INT Innerklinisches Notfallmanagement (22.07.2021) |
| RM05 |
Pain management Handbuch Aktuschmerztherapie (30.04.2021) |
| RM06 |
Fall prophylaxis Richtlinien zur Sturzprophylaxe in der Pflege Standard (24.04.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Klinisches Risikomanagement und Patientensicherheit Checkliste (25.09.2020) |
| RM08 |
Regulated handling of custodial measures QVA BUKM Freiheitsentziehende Maßnahmen (25.08.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices MD WA-MT Prozessdarstellung Reparatur (27.04.2020) |
| 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 Präoperative Checkliste (25.09.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Klinisches Risikomanagement und Patientensicherheit Checkliste (25.09.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups BG_Kliniken_Checkliste klinisches Risikomanagement und Patientensicherheit BG Kliniken (25.09.2020) |
| RM17 |
Standards for recovery and postoperative care SOP AIS ANA Ärztliche Patientenüberwachung in der Aufwachstation (20.05.2021) |
| RM18 |
Discharge management Expertenstandard_Entlassungsmanagement_2019_Tabelle (13.02.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Einführung Patientenarmbänder, Bauliche Maßnahmen zur Sturzprophylaxe
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.01.2022 |
| 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 |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |