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

Qualitätsmanagement, Führungsrunde der Teamleiter

Conference frequency: monatlich

Risk management

Oliver Hirschsteiner

Ärztliche Leitung

Rinckstraße 7 - 9
83435 Bad Reichenhall

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

Qualitätsmanagement, Führungsrunde der Teamleiter

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 (01.01.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM06

Fall prophylaxis

2023-01-01 (01.01.2023)

RM07

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

2023-01-01 (01.01.2023)

RM08

Regulated handling of custodial measures

2023-01-01 (01.01.2023)

RM09

Regulated handling of occurring malfunctions of devices

2023-01-01 (01.01.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Fallbesprechungen
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

2023-01-01 (01.01.2023)

RM15

Preoperative, complete presentation of necessary findings

2023-01-01 (01.01.2023)

RM16

Procedure to avoid procedural and patient mix-ups

2023-01-01 (01.01.2023)

RM17

Standards for recovery and postoperative care

2023-01-01 (01.01.2023)

RM18

Discharge management

2023-01-01 (01.01.2023)

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: