Dealing with risks in patient care
Quality management
Waltraud Bürkner
Qualitätsmanagementbeauftragte
Feuersteinstr. 2
91320 Ebermannstadt
Phone:
09194
-55-0
Mail:
ed.ziewhcs-ehcsiknearf-kinilk@al
Qualitätsmanagement-Team bestehend aus allen Abteilungsleitungen Treffen erfolgt monatlich
Conference frequency: monatlich
Risk management
Heinrich Wölfel
Verwaltungsleitung
Feuersteinstr. 2
91320 Ebermannstadt
Phone:
09194
-55-0
Fax: 09194-55-4099
Mail:
ed.ziewhcs-ehcsiknearf-kinilk@ofni
Das Risikomanagement wird vom Lenkungsausschuss, bestehend aus einem Chefarzt, einen Vertreter der Geschäftsführung, der Qualitätsmanagementbeauftragten und einer internen Auditorin, durchgeführt.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available B_U_6.10_Risikomanagement_FOFS_V1.4.pdf (25.05.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management B_U_6.9_Medizinisches_Notfallmanagement_KFS_V1.0 (11.07.2012) |
| RM05 |
Pain management B_K_5.10_Schmerztherapie_FOFS_V1.5; C_2.0_VA_Expertenstandard Schmerzmanagement_FOFS_V1.5.doc (08.10.2021) |
| RM06 |
Fall prophylaxis C_2.0_VA_Expertenstandard Sturzprophylaxe_FOFS_V1.5.doc (11.05.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) C_2.0_VA_Expertenstandard Dekubitusprophylaxe_FOFS_V1.3.doc (11.05.2021) |
| RM08 |
Regulated handling of custodial measures C_11.0_DA_Fixierung_FOFS_V1.1 (28.05.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices B_U_5.2_Umgang mit fehlerhaften Geräten und Materialien_FOFSV1.4 (15.12.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings C_1.0_FB_Anmeldung invasive kardiologische Diagnostik und Therapie_INN_V1.0 (17.04.2013) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vermeidung von Patientenverwechslungen (28.06.2019) |
| RM17 |
Standards for recovery and postoperative care C_6.2_VA_Untersuchung Standard für Implantation Herzschrittmacher_ ICD für Station_FOFS_V1.0 (06.04.2020) |
| RM18 |
Discharge management B_K_7.1.1_Entlassung_FOFS_V1.4 (25.06.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
5
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.03.2021 |
| 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 jährlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF12 |
“Every mistake counts” (Institute for General Medicine Frankfurt) |