Dealing with risks in patient care

Quality management

Dr. med. Ulrike Scheske-Zink, MBA

Verbundleiterin Qualitätsmanagement GLKN

Virchowstr. 10
78224 Singen

Phone: 07731 -89-1570
Mail: ed.nklg@kniz-eksehcs.ekirlu

Prof. Dr. med. Moritz Wente

Direktor Medizin und Pflege

Virchowstr. 10
78224 Singen

Phone: 07731 -89-1507
Mail: ed.nklg@etnew.ztirom

Geschäftsführung, Einrichtungsleitungen, Verbundabteilungsleitungen, QM-Team, Betriebsrat

Conference frequency: quartalsweise

Risk management

Ulrike Scheske-Zink, MBA

Verbundleiterin Qualitätsmanagement GLKN

Virchowstraße 10
78224 Singen

Phone: 07731 -89-1570
Mail: ed.nklg@kniz-eksehcs.ekirlu

Moritz Wente

Direktor Medizin und Pflege

Virchowstraße 10
78224 Singen

Phone: 07731 -89-1507
Fax: 07731-89-1508
Mail: ed.nklg@etnew.ztirom

Geschäftsführung, Einrichtungsleitungen, Verbundabteilungsleitungen, QM-Team, Betriebsrat

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch GLKN (16.05.2023)

RM02

Regular further education and training measures

RM04

Clinical emergency management

QM-Handbuch GLKN (07.04.2022)

RM05

Pain management

QM-Handbuch GLKN (10.12.2020)

RM06

Fall prophylaxis

QM-Handbuch GLKN (10.12.2020)

RM07

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

QM-Handbuch GLKN (10.12.2020)

RM08

Regulated handling of custodial measures

QM-Handbuch GLKN (03.02.2021)

RM09

Regulated handling of occurring malfunctions of devices

QM-Handbuch GLKN (10.12.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Ethisches Konsil
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-Handbuch GLKN (24.05.2022)

RM15

Preoperative, complete presentation of necessary findings

QM-Handbuch GLKN (24.05.2022)

RM16

Procedure to avoid procedural and patient mix-ups

QM-Handbuch GLKN (24.05.2022)

RM17

Standards for recovery and postoperative care

QM-Handbuch GLKN (24.05.2022)

RM18

Discharge management

QM-Handbuch GLKN (25.11.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Aus CIRS heraus werden fortlaufend zahlreiche Verbesserungsmaßnahmen abgeleitet

No. Explanation
IF01

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

As of: 15.12.2020

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: monatlich

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)