Dealing with risks in patient care
Quality management
Frau Natascha Breunig
Qualitätsmanagementbeauftragte
Krankenhausstr. 45
63906 Erlenbach am Main
Phone:
09372
-700-1065
Mail:
ed.tiehdnuseg-soileh@ginuerB.ahcsataN
Conference frequency:
Risk management
Natascha Breunig
Risikomanagementbeauftragte
Phone:
09372
-700-1065
Fax: 09372-700-1009
Mail:
ed.tiehdnuseg-soileh@ginuerB.ahcsataN
Klinikgeschäftsführer, Ärztlicher Direktor, Pflegedirektor, Betriebsrat, Risikomanagementbeauftragte, Unternehmenskommunikation, Hygienebeauftragter
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management K_Notfallkonzept (09.12.2022) |
| RM05 |
Pain management SOP_Schmerzmanagement (25.08.2023) |
| RM06 |
Fall prophylaxis K_Sturzprophylaxe (25.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe in der Pflege (01.06.2017) |
| RM08 |
Regulated handling of custodial measures VA_Umgang mit Fixierung (22.07.2021) |
| 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 (16.09.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (16.09.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (16.09.2021) |
| RM18 |
Discharge management QM_VA_Entlassmanagement (29.03.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Erforderliche Maßnahmen werden umgesetzt
| No. | Explanation |
|---|---|
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |