Dealing with risks in patient care
Quality management
Regina Salten-Wandinger
Qualitätsbeauftragte
Bajuwarenstraße 5
85435 Erding
Phone:
08122
-595599-
Mail:
ed.gnidre-mukinilk@netlas.aniger
Im Klinikum Erding sind Mitarbeiter aus allen Abteilungen in der Qualitätskommission vertreten. Die Qualitätskommission tagt regelmäßig und kann auch bei Bedarf kurzfristig einberufen werden.
Conference frequency: quartalsweise
Risk management
Regina Salten-Wandinger
Qualitätsbeauftragte
Bajuwarenstraße 5
85435 Erding
Phone:
08122
-595599-
Mail:
ed.gnidre-mukinilk@netlas.aniger
Im Klinikum Erding sind Mitarbeiter aus allen Abteilungen in der Qualitätskommission vertreten. Die Qualitätskommission tagt regelmäßig und kann auch bei Bedarf kurzfristig einberufen werden.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementkonzept; Organisationskonzept Risikomanagement (19.04.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Organisation Notfallversorgung (07.06.2021) |
| RM05 |
Pain management Umsetzung Expertenstandard Schmerzmanagement (21.09.2021) |
| RM06 |
Fall prophylaxis Umsetzung des Nationalen Expertenstandards Sturzprophylaxe (16.09.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Umsetzung des Nationalen Expertenstandards Dekubitusprophylaxe (16.09.2022) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (15.11.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Vorkommnismeldung (22.09.2022) |
| 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 OP-Checkliste (04.03.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste (04.03.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Checkliste (04.03.2022) |
| RM17 |
Standards for recovery and postoperative care Aufwachraum (28.06.2021) |
| RM18 |
Discharge management Umsetzung des Nationalen Expertenstandards Entlassmanagement (02.09.2022) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Anpassung der Notfalldokumentaiton bei Ausfall digitaler Akten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.03.2022 |
| 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 monatlich |
Conference committee
Conference frequency: quartalsweise
| 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) |