Dealing with risks in patient care

Quality management

Diplom-Kauffrau (univ.) Ursula Danke

Qualitätsmanagementbeauftragte

Plattlinger Strasse 29
94486 Osterhofen

Phone: 09932 -39-112
Mail: ed.nefohretso-kinilkhcaf@eknad.alusru

Pflegedienst, Physiotherapie, Ärztlicher Dienst, Verwaltung

Conference frequency: monatlich

Risk management

Ursula Danke

Qualitätsmanagementbeauftragte

Plattlinger Strasse 29
94486 Osterhofen

Phone: 09932 -39-112
Mail: ed.nefohretso-kinilkhcaf@eknad.alusru

Pflegedienst, Physiotherapie, Ärztlicher Dienst, Verwaltung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (31.12.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA3_24_Notfallmanagement (29.09.2022)

RM05

Pain management

IL3S_01_Leitlinie Schmerzmanagement (04.11.2019)

RM06

Fall prophylaxis

VA3P_10_Expertenstandard Sturzprohylaxe (31.01.2017)

RM07

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

PB3P_2_Dekubitusversorgung (14.08.2023)

RM09

Regulated handling of occurring malfunctions of devices

VA5_02_Fehlermanagement (29.09.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM18

Discharge management

PB3_07_Entlassmanagement Akut (12.05.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Durchführung von Schulungen zu diversen Themen, Sensibilisierung der Mitarbeiter für kritische Ereignisse im Rahmen von Abteilungsbesprechungen.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 29.09.2022

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 jährlich

Conference committee

Conference frequency: bei Bedarf

No. Explanation

Other