Dealing with risks in patient care
Quality management
Dagmar Sieber
Qualitätsmanagement
Kanzlerstraße 2-6
75175 Pforzheim
Phone:
07231
-969-3277
Mail:
ed.tiehdnuseg-soileh@rebeiS.ramgaD
Alle Fachabteilungen
Conference frequency: monatlich
Risk management
Eva Rehmann
Risk- und Compliancemanagement
Phone:
07231
-969-8780
Fax: 07231-969-2417
Mail:
ed.nekinilk-soileh@nnamheR.avE
Geschäftsführung; Ärztlicher Direktor; ggf.Qualitätsmanagement; ggf. Verantwortliche der Fachabteilungen/Funktionsbereiche
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Notfallmanagement (10.12.2024) |
| RM05 |
Pain management Verfahrensanweisung Schmerzmanagement (23.09.2024) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Sturzprophylaxe (02.04.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung Dekubitusprophylaxe in der Pflege (18.06.2024) |
| RM08 |
Regulated handling of custodial measures Konzernregelung und Checkliste Freiheitsentziehende Maßnahmen (12.03.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (01.06.2023) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care Fachgruppenbeschluss zur Erhebung des Early Warning Scores bei Verlegung aus dem Aufwachraum (10.03.2023) |
| RM18 |
Discharge management Expertenstandard Entlassung (16.09.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Mitarbeiterschulungen, Erstellen und Aktualisieren von Vorgabedokumenten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.01.2025 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Berlin Medical Association, German Medical Association) |