Dealing with risks in patient care
Quality management
Nicole Rieger
Abteilungsleitung
Dr.-Gutermann-Straße 2
87600 Kaufbeuren
Phone:
08341
-42-3027
Mail:
ed.fk-lao-nekinilk@regeiR.elociN
Zentrale Qualitätsmanagementverantwortliche
Conference frequency: bei Bedarf
Risk management
Nicole Rieger
Abteilungsleitung
Dr.-Gutermann-Straße 2
87600 Kaufbeuren
Phone:
08341
-42-3027
Fax: 08341-42-3036
Mail:
ed.fk-lao-nekinilk@regeiR.elociN
Mitarbeiter aus folgenden Bereichen: Ärzte, Pflege, Funktion, Facility Management und Verwaltung
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Prozessbeschreibung - Risikomanagement (18.11.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Im Rahmen des klinischen Notfallmanagements gibt es mehrere Dokumente, z.B. "Checkliste zur Überprüfung des Notfallkoffers" (18.04.2023) |
| RM05 |
Pain management Verfahrensanweisung - Schmerzmanagement in der Pflege (14.03.2016) |
| RM06 |
Fall prophylaxis Standard - Sturzprävention (02.05.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard - Dekubitusprophylaxe (24.02.2016) |
| RM08 |
Regulated handling of custodial measures Standard - Einsatz freiheitsbegrenzender Maßnahmen (26.07.2016) |
| RM09 |
Regulated handling of occurring malfunctions of devices Prozessbeschreibung - Umgang mit fehlerhaften Produkten (08.03.2016) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings im Rahmen der rechtssicheren Dokumentation (15.12.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Standard - Patientenidentifikationsarmband (27.10.2015) |
| RM17 |
Standards for recovery and postoperative care Es gibt mehrere Standards bzw. Dokumente zum Thema Aufwachphase und postoperative Versorgung, z.B. Anästhesie Pflege / 7.1.02 Standard Aufwachraum Allgemein (24.04.2020) |
| RM18 |
Discharge management Standard - Entlassungsmanagement in der Pflege (14.03.2016) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
z.B. CIRS, Interdisziplinäre Fallkonferenzen, verschiedene Arbeitsgruppen zum klinischen Risikomanagement, externes Risikoaudit des Notfallzentrums
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.03.2016 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: bei Bedarf
| 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) |