Dealing with risks in patient care
Quality management
Thomas Reichart
Personalleiter, Qualitätsmanagementbeauftragter, Meinungs- und Beschwerdemanagement
Moosbauerweg 5
82515 Wolfratshausen
Phone:
08171
-75-111
Mail:
ed.nesuahstarflow-kinilksierk@trahciert
Geschäftsführung, QMB
Conference frequency: wöchentlich
Risk management
Ingo Kuehn
Geschäftsführer
Phone:
08171
-75-111
Fax: 08171-75-206
Mail:
ed.nesuahstarflow-kinilksierk@nheuki
Ingo Kühn
Geschäftsführer
Phone:
08171
-75-111
Fax: 08171-75-206
Mail:
ed.nesuahstarflow-kinilksierk@nheuki
Verwaltung, ärztlicher Dienst, Pflegedienst
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (01.10.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management 04 Alarm- und Einsatzplan (01.01.2023) |
| RM05 |
Pain management 63 Leitlinie zur Schmerztherapie (01.02.2022) |
| RM06 |
Fall prophylaxis 10.09 Sturzprophylaxe (01.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) 10.01 Dekubitusprophylaxe (01.02.2023) |
| RM08 |
Regulated handling of custodial measures 10.10 Freiheitsentziehende Maßnahmen (01.04.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices 10 Einsatz von Medizinprodukten (01.02.2023) |
| 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 Nr. 45 - Maßnahmen zur Patientensicherheit im Operationssaal (01.12.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings 45 Maßnahmen zur Patientensicherheit im OP (01.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups 45b Anlage S2 - Sicherheits-Checkliste Chirurgie (01.12.2022) |
| RM17 |
Standards for recovery and postoperative care Risikomanagementhandbuch (01.10.2022) |
| RM18 |
Discharge management Risikomanagementhandbuch (01.10.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Optimierung des internen Alarmierungssystem, Durchführung von speziellen MegaCode-Trainings, Änderung von Verfahrens- und Dienstanweisungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.03.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken jährlich |
Conference committee
Conference frequency: