Dealing with risks in patient care
Quality management
Rebecca Vorwald
Leitung Qualitätsmanagement
Sonnenstraße 24-26
80331 München
Phone:
089
-149903-0
Mail:
ed.mukinilkrasi@ofni
alle medizinischen und sonstigen Versorgungsbereiche
Conference frequency: monatlich
Risk management
Rebecca Vorwald
Leitung Qualitätsmanagement
Phone:
089
-149903-0
Fax: 089-149903-1990
Mail:
ed.mukinilkrasi@ofni
alle medizinischen und sonstigen Versorgungsbereiche
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Portal (16.11.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Portal (16.11.2021) |
| RM05 |
Pain management QM-Portal (16.11.2021) |
| RM06 |
Fall prophylaxis QM-Portal (11.11.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Portal (06.04.2021) |
| RM08 |
Regulated handling of custodial measures QM-Portal (30.01.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Portal (30.10.2019) |
| 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 QM-Portal (01.09.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Portal (01.09.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Portal (11.03.2019) |
| RM17 |
Standards for recovery and postoperative care QM-Portal (07.08.2020) |
| RM18 |
Discharge management QM-Portal (21.10.2019) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
stationäre Medikation in Kooperation mit klinischer Pharmakologin, Arzneimitteltherapiesicherheit, Risikoanalyse Prozesse, Durchführung von Risikoaudits, Umsetzung der Expertenstandards (Sturz, Dekubitus) Externe Beratung, Präventive Maßnahmen und Risikoanalysetools, Schulungen und Arbeitsanweisungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 16.11.2021 |
| 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 monatlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |