Dealing with risks in patient care
Quality management
Dr. med. Felix Große
Qualitätsmanagementbeauftragter Arzt
Jakob-Henle-Straße 1
90766 Fürth
Phone:
0911
-7580-1044
Mail:
ed.htreuf-mukinilk@essorg.xilef
QM-Lenkungsgremium - Vorstand - Ärztlicher Direktor - Pflegedirektor - Zentrenkoordination - Leitung Unternehmensentwicklung - Qualitäts- & Risikomanagement-Beauftragte - Personalratsvorsitzende
Conference frequency: monatlich
Risk management
Felix Große
Qualitätsmanagementbeauftragter Arzt
90744 Fürth
Phone:
0911
-7580-1044
Fax: 0911-7580-1049
Mail:
ed.htreuf-mukinilk@essorg.xilef
- Vorstand - Ärztlicher Direktor - Pflegedirektor - Personalleitung - Bereichsleitung Technik - Risikomanagement-Beauftragte (Stabstelle QRM) - Risikoexperten (ISB, DSB, FASI, KH-Hygieniker) - Betriebsarzt - CIRS-Teamleitung - Beschwerdemanager
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Elektronisches QM-Portal Klinikum Fürth (19.07.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Elektronisches QM-Portal Klinikum Fürth (30.04.2022) |
| RM05 |
Pain management Elektronisches QM-Portal Klinikum Fürth (11.02.2022) |
| RM06 |
Fall prophylaxis Elektronisches QM-Portal Klinikum Fürth (20.02.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Elektronisches QM-Portal Klinikum Fürth (14.11.2021) |
| RM08 |
Regulated handling of custodial measures Elektronisches QM-Portal Klinikum Fürth (28.01.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Elektronisches QM-Portal Klinikum Fürth (10.04.2022) |
| 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 Elektronisches QM-Portal Klinikum Fürth (12.02.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Elektronisches QM-Portal Klinikum Fürth (04.03.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Elektronisches QM-Portal Klinikum Fürth (10.01.2021) |
| RM17 |
Standards for recovery and postoperative care Elektronisches QM-Portal Klinikum Fürth (16.10.2020) |
| RM18 |
Discharge management Elektronisches QM-Portal Klinikum Fürth (30.03.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
- Maßnahmen zur Verbesserung der Arzneimitteltherapiesicherheit
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 16.11.2022 |
| 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 quartalsweise |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF08 |
CIRS Emergency Medicine (Department of Anaesthesia, Intensive Care Medicine and Emergency Medicine, Kempten Hospital) |
| EF10 |
CIRS of the German Society of Surgery (DGCH) |
| EF12 |
“Every mistake counts” (Institute for General Medicine Frankfurt) |