Dealing with risks in patient care
Quality management
Nina Breyer
Leitung Qualitätsmanagement
Mainaustraße 35
78464 Konstanz
Phone:
07531
-801-2270
Mail:
ed.nklg@reyerb.anin
Geschäftsführung, Kaufmännische Direktion, Direktion Medizin und Pflege, Pflegedirektion, Ärztliche Direktion, QM, Verbundbetriebsrat, Leitungen der Bereiche Technik/Bau, Krankenhaushygiene, Medizinisches Controlling, Servicegesellschaft
Conference frequency: halbjährlich
Risk management
Nina Breyer
Leitung Qualitätsmanagement
Mainaustraße 35
78464 Konstanz
Phone:
07531
-801-2270
Mail:
ed.nklg@reyerb.anin
Direktor Medizin und Pflege, Geschäftsbereichsleitungen, Kaufmännische Direktion
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available GLKN-QMH (29.04.2025) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management GLKN-QMH (07.11.2024) |
| RM05 |
Pain management GLKN-QMH (18.03.2025) |
| RM08 |
Regulated handling of custodial measures GLKN-QMH (03.02.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices GLKN-QMH (25.01.2025) |
| 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 GLKN-QMH (10.01.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings GLKN-QMH (10.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups GLKN-QMH (10.01.2023) |
| RM17 |
Standards for recovery and postoperative care GLKN-QMH (04.09.2025) |
| RM18 |
Discharge management GLKN-QMH (04.09.2025) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Checkliste für Notfallrucksack; Umsetzung störungsfreier Arbeitsplatz für Medikamente richten;
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 27.03.2024 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |