Dealing with risks in patient care
Quality management
Madeleine Michel
Qualitätsmanagement
Am Isarkanal 30
81379 München
Phone:
089
-72440-2855
Mail:
ed.demetra@lehcim.enieledam
Geschäftsführung, Chefärzte, Pflegedienstleitung, Hygienefachkraft, Qualitätsmanagement-Beauftragte
Conference frequency: andere Frequenz
Risk management
Madeleine Michel
Qualitätsmanagement
Am Isarkanal 30
81379 München
Phone:
089
-72440-2855
Mail:
ed.demetra@lehcim.enieledam
Geschäftsführung, Risikomanagement-Beauftragte, Finanzbuchhaltung
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Zertifiziertes lokales Traumazentrum (Traumanetzwerk DGU) SOP Ablauf Notaufnahme SOP Herzalarm Protokoll SOP Inhalt Notfallkoffer SOP Reanimationsalgorhythmus (18.02.2016) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmaßnahmen Alarmierung Zertifizierung Traumazentrum (01.10.2021) |
| RM05 |
Pain management SOP Schmerztherapie (01.04.2016) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprotokoll und Handhabung der Sturzprotokolle (30.11.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard (26.06.2016) |
| RM08 |
Regulated handling of custodial measures Pflegestandard (26.06.2016) |
| RM09 |
Regulated handling of occurring malfunctions of devices z.B. CL Umgang externer HSM CL Kontrolle Defibrillatoren CL Blutzuckerkontrolle (31.01.2016) |
| 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 Präoperative Checkliste OP-Indikationsbogen (31.01.2016) |
| RM15 |
Preoperative, complete presentation of necessary findings Präoperative CL OP-Indikationsbogen (31.01.2016) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Präoperative CL OP-CL (01.02.2015) |
| RM17 |
Standards for recovery and postoperative care Pflegestandard Postoperativer Verordnungsbogen (26.06.2016) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Schulungen im Bereich Patientenaufnahme. Schulung der Mitarbeiter zu Telefonatsweiterleitung, zum Anmelden und Terminmanagement. Verbesserung der OP-Planung. Optimierung der Essenversorgung und des Abräumens in den Zimmern.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.01.2015 |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |