Dealing with risks in patient care
Quality management
Peter Plattner
Leiter integrierte Managementsysteme
Graneckerstraße 1
94036 Passau
Phone:
08541
-206760-
Mail:
ed.uassap-eg@renttalpp
Patricia Zückert
Leiterin integrierte Managementsysteme
Graneckerstraße 1
94036 Passau
Phone:
08541
-206760-
Mail:
ed.uassap-eg@ofni
GeschäftsführungÄrztlicher LeiterVerwaltungsleiterPflegedienstleiterLeiter integrierte ManagementsystemeLeiter externe Kommunikation
Conference frequency: wöchentlich
Risk management
Peter Plattner
Leiter integrierte Managementsysteme
Graneckerstraße 1
94036 Passau
Phone:
08541
-206760-
Mail:
ed.uassap-eg@renttalpp
Patricia Zückert
Leiterin integrierte Managementsysteme
Graneckerstraße 1
94036 Passau
Phone:
08541
-206760-
Mail:
ed.uassap-eg@ofni
GeschäftsführungÄrztlicher LeiterVerwaltungsleiterPflegedienstleiterLeiter integrierte ManagementsystemeLeiter externe Kommunikation
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Geschäftsordnung (14.05.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahren Klinisches Notfallmanagement (23.07.2020) |
| RM05 |
Pain management Standard Schmerztheraphie (01.06.2021) |
| RM06 |
Fall prophylaxis Prozess-Standard Sturzprävention (27.10.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Prozess-Standard Dekubitus-Prävention (29.07.2020) |
| RM08 |
Regulated handling of custodial measures Prozess-Standard Patientenfixierung (15.04.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices MPG-Rechte+Pflichten für Geräteanwender (21.05.2021) |
| 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 WHO-Checkliste (21.05.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO-Checkliste (21.05.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups WHO-Checkliste (21.05.2021) |
| RM17 |
Standards for recovery and postoperative care OP-Nachsorge (28.07.2020) |
| RM18 |
Discharge management Prozess Entlassung (12.03.2020) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Überarbeitung der Behandlungspfade
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.01.2020 |
| 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 jährlich |
Conference committee
Conference frequency: wöchentlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |