Dealing with risks in patient care
Quality management
Gloria Zörner
Leitung Stabstelle Qualität und Compliance
Leimenstraße 20
63450 Hanau
Phone:
06181
-296-3723
Mail:
ed.uanah-mukinilk@renreoz_airolg
Interdisziplinäre QM-Team Sitzung
Conference frequency: andere Frequenz
Risk management
Gloria Zörner
Leitung Stabstelle Qualität und Compliance
Phone:
06181
-296-3723
Fax: 06181-296-6666
Mail:
ed.uanah-mukinilk@renreoz_airolg
Interdisziplinäre QM-Team Sitzung
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Verfahrensanweisung Qualitäts- und Risikomanagement (24.03.2025) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Notfallkonzept (09.05.2025) |
| RM05 |
Pain management SOP Handlungsleitlinie akute Schmerztherapie (29.02.2024) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Sturzprävention (11.03.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) SOP Dekubitusprophylaxe (10.03.2025) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Qualitäts- und Risikomanagement (24.03.2025) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung Einhaltung der MDR und der MPBetreibV (24.07.2025) |
| 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 ZOP OP-Satzung (04.07.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Verfahrensanweisung Qualitäts- und Risikomanagement (24.03.2025) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung Qualitäts- und Risikomanagement (24.03.2025) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanweisung OP-Satzung (04.07.2024) |
| RM18 |
Discharge management Verfahrensanweisung Entlassungsmanagement (28.05.2025) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Risikoanalysen, Apothekenkonsil mit Arzneimittelanamnese, Patientenidentifikationsarmband, Patientensicherheitschecklisten, Sturzprävention & Auswertung von Stürzen, Demenzbeauftragte, Qualifizierte Schmerztherapie, Antibiotic Stewardship (ABS-Team), Patientensicherheitsparcour, Vorgehen zum Umgang mit vulnerablen Patientengruppen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.06.2023 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |