Dealing with risks in patient care
Quality management
Station, OP, Anästhesie, Verwaltung
Conference frequency: quartalsweise
Risk management
M&M-Konferenz, OP, Station, Anästhesie
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts-, Arbeitsschutz-, Risikopolitik und VA-interne Audits (18.06.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Schmerzmanagement (19.06.2019) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (15.02.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (01.08.2020) |
| RM08 |
Regulated handling of custodial measures Umgang mit freiheitsentziehenden Maßnahmen (01.11.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Umgang mit Medizinprodukten (27.08.2021) |
| 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 präop. Zusammenfassung krit. OP, Risikopatienten werden im Anästhesiegespräch ermittelt und nicht in der Klinik operiert (01.10.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Erfolgt im Rahmen der ärztlichen Besprechungen (20.10.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vermeidung Eingriffs- und Patientenverwechselung, VA Checkliste, OP-Sicherheitscheckliste (20.08.2019) |
| RM17 |
Standards for recovery and postoperative care Standard AWR und post-OP Versorgung (02.07.2019) |
| RM18 |
Discharge management Entlassmanagement (17.12.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Hinterlegt im Intranet und für jeden Mitarbeiter zugängig
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.05.2021 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: