Dealing with risks in patient care

Quality management

Team Qualitätsmanagement

QM-Beauftragte

Rinckstraße 7 - 9
83435 Bad Reichenhall

Phone: 08651 -708-0
Mail: ed.kinilk-sulas@mq

QM

Conference frequency: monatlich

Risk management

Oliver Hirschsteiner

Ärztliche Leitung

Rinckstraße 7 - 9
83435 Bad Reichenhall

Phone: 08651 -708-0
Mail: ed.kinilk-sulas@gnutlawrev

QM

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

2021-01-01 (01.01.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM06

Fall prophylaxis

.2021-01-01 (01.01.2021)

RM07

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

.2021-01-01 (01.01.2021)

RM08

Regulated handling of custodial measures

.2021-01-01 (01.01.2021)

RM09

Regulated handling of occurring malfunctions of devices

.2021-01-01 (01.01.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
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

2021-01-01 (01.01.2021)

RM15

Preoperative, complete presentation of necessary findings

.2021-01-01 (01.01.2021)

RM16

Procedure to avoid procedural and patient mix-ups

.2021-01-01 (01.01.2021)

RM17

Standards for recovery and postoperative care

.2021-01-01 (01.01.2021)

RM18

Discharge management

.2021-01-01 (01.01.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Im Rahmen des Qualitätsmanagements

No. Explanation
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: