Dealing with risks in patient care

Quality management

Brigitte Stögbauer

Qualitätsmanagementbeauftragte

Bürgermeister-Hartl-Platz 1
94086 Bad Griesbach

Phone: 08532 -27-4816
Mail: ed.flowreuassap@hcabseirG-daB-gnutieL

Karin Bauer

Qualitätsmanagementbeauftragte

Bürgermeister-Hartl-Platz 1
94086 Bad Griesbach

Phone: 08532 -27-4816
Mail: ed.flowreuassap@hcabseirG-daB-gnutieL

Ärztlicher Direktor, Chefärzte, Pflegedienstleitung, Therapieleitung, QMB, Geschäftsleitung

Conference frequency: wöchentlich

Risk management

Stephan Merz

Geschäftsführer

Phone: 08532 -27-4816
Fax: 08532-27-4777
Mail: ed.flowreuassap@hcabseirG-daB-gnutieL

Oliver Meier

Ärztlicher Direktor; Chefarzt Neurologie, Neurologische Frührehabilitation, Geriatrie

Phone: 08532 -27-4511
Fax: 08532-27-4777
Mail: ed.flowreuassap@hcabseirG-daB-tairaterkestzrafehC

Klinikleitung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Prozessbeschreibungen in roXtra (28.10.2020)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Prozessbeschreibungen in roXtra (28.10.2020)

RM05

Pain management

Prozessbeschreibungen in roXtra (28.10.2020)

RM06

Fall prophylaxis

Prozessbeschreibungen in roXtra (28.10.2020)

RM07

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

Prozessbeschreibungen in roXtra (28.10.2020)

RM08

Regulated handling of custodial measures

Prozessbeschreibungen in roXtra (28.10.2020)

RM09

Regulated handling of occurring malfunctions of devices

Prozessbeschreibungen in roXtra (28.10.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Prozessbeschreibungen in roXtra (28.10.2020)

RM18

Discharge management

Prozessbeschreibungen in roXtra (28.10.2020)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Sturzprophylaxe, Dekubitusprophylaxe, Umgang mit Fixierung und Weglaufgefährdung, Patientenarmband, Patientenidentifizierung

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 01.10.2020

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: bei Bedarf

No. Explanation

Other