Dealing with risks in patient care

Quality management

Frau Denise Apelt

Leitung Qualitäts- und Projektmanagement

Müller-Gandenegg-Weg 4
86633 Neuburg a. d. Donau

Phone: 08431 -54-3700
Mail: ed.kinilk-htebasile-tknas@tlepa.esined

Conference frequency:

Risk management

Denise Apelt

Leitung Qualitäts- und Projektmanagement

Müller-Gandenegg-Weg 4
86633 Neuburg a. d. Donau

Phone: 08431 -54-3700
Fax: 08431-54-1169
Mail: ed.kinilk-htebasile-tknas@tlepa.esined

Ärztlicher Direktor, stellvertretende Krankenhausdirektorin, Leitung Qualitäts- und Projektmanagement, Mitarbeiter Pflege

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Verfahrensanleitung Risikomanagement (01.03.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Verfahrensanleitung Risikomanagement (01.03.2023)

RM05

Pain management

Verfahrensanleitung Risikomanagement (01.03.2023)

RM07

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

Verfahrensanleitung Risikomanagement (01.03.2023)

RM08

Regulated handling of custodial measures

Verfahrensanleitung Risikomanagement (01.03.2023)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensanleitung Risikomanagement (01.03.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
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

Verfahrensanleitung Risikomanagement (01.03.2023)

RM15

Preoperative, complete presentation of necessary findings

Verfahrensanleitung Risikomanagement (01.03.2023)

RM16

Procedure to avoid procedural and patient mix-ups

Verfahrensanleitung Risikomanagement (01.03.2023)

RM17

Standards for recovery and postoperative care

Verfahrensanleitung Risikomanagement (01.03.2023)

RM18

Discharge management

Verfahrensanleitung Risikomanagement (01.03.2023)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Analyse der eingegangenen Meldungen und Ableitung von Maßnahmen zur Verbesserung von Prozess- und Ergebnisqualität

No. Explanation
IF02

Internal evaluation of the received reports

taken monatlich

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: quartalsweise

No. Explanation
EF14

CIRS Health Care