Dealing with risks in patient care

Quality management

Andrea Maier-Bantle

Leitung Qualitätsmanagement

Friedrichstraße 39
72458 Albstadt

Phone: 07431 -991804-
Mail: ed.mukinilk-blanrelloz@eltnab-reiam.aerdna

Geschäftsführung, Fachbereichsleitung Pflege, Chefarzt Innere Medizin Balingen, Chefarzt ZAINS, Ärztlicher Direktor, Hygiene und externe Qualitätssicherung, Vertreter Betriebsrat, Compliance Officer, Fachbereichsleitung IT

Conference frequency: bei Bedarf

Risk management

Andrea Maier-Bantle

Leitung Qualitätsmanagement

Phone: 07431 -991804-
Mail: ed.mukinilk-blanrelloz@eltnab-reiam.aerdna

Alle medizinischen und administrativen Bereiche, Compliance Officer und QM

Conference frequency: jährlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (Intranet) (25.09.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM-Handbuch (Intranet) (25.09.2022)

RM05

Pain management

QM-Handbuch (Intranet) (25.09.2022)

RM06

Fall prophylaxis

QM-Handbuch (Intranet) (25.09.2022)

RM07

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

QM-Handbuch (Intranet) (25.09.2022)

RM08

Regulated handling of custodial measures

QM-Handbuch (Intranet) (25.09.2022)

RM09

Regulated handling of occurring malfunctions of devices

QM-Handbuch (Intranet) (25.09.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Qualitätszirkel
  • Videokonferenzen im Rahmen des Kontinenz- und Beckenbodenzentrums
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM15

Preoperative, complete presentation of necessary findings

QM-Handbuch (Intranet) (25.09.2022)

RM16

Procedure to avoid procedural and patient mix-ups

QM-Handbuch (Intranet) (25.09.2022)

RM17

Standards for recovery and postoperative care

QM-Handbuch (Intranet) (25.09.2022)

RM18

Discharge management

QM-Handbuch (Intranet) (25.09.2022)

Fault reporting systems

Conference committee

Conference frequency:

Measures

No. Explanation
Conference committee

Conference frequency: bei Bedarf

No. Explanation
EF15

PaSIS (Patient Safety and Information System of the University Hospital Tübingen)