Dealing with risks in patient care
Quality management
Dr. Karl Huber
Leiter der Stabsstelle Qualitätsmanagement
Franz-Josef-Strauß-Allee 11
93053 Regensburg
Phone:
0941
-944-38570
Mail:
ed.rku@rebuh.lrak
Klinikumsvorstand
Conference frequency: wöchentlich
Risk management
Karl Huber
Leiter der Stabsstelle Qualitätsmanagement
Franz-Josef-Strauß-Allee 11
93042 Regensburg
Phone:
0941
-944-38570
Fax: 0941-944-38572
Mail:
ed.rku@rebuh.lrak
Klinikumsvorstand
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VA Klinisches Risikomanagement (31.08.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch der Klinik für Anästhesiologie (13.08.2019) |
| RM05 |
Pain management Pflegestandard Akutschmerzmanagement für die Erwachsenenpflege (14.01.2013) |
| RM06 |
Fall prophylaxis Pflegestandard Sturz (02.08.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusmanagement für Erwachsene (08.10.2018) |
| RM08 |
Regulated handling of custodial measures DA über die Vorgehensweise bei Anordnung und Dokumentation von Freiheitsentziehenden Maßnahmen (01.02.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices DA bzgl. der Umsetzung des Medizinproduktegesetzes und der Medizinprodukte-Betreiberverordnung (06.08.2012) |
| 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 VA zur OP-Checkliste (16.08.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenidentifikation mit dem Patientenarmband (30.11.2015) |
| RM17 |
Standards for recovery and postoperative care Leitfaden Aufwachraum (08.07.2016) |
| RM18 |
Discharge management Leitfaden zum Entlassmanagement gemäß § 39 (02.12.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Differenzierte Fall- und Prozessbetrachtungen führten zu Projektinitiierungen und Verbesserungen, mit dem Fokus auf das klinische Risikomanagement.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.01.2021 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: monatlich
| No. | Explanation |
|---|---|
|
Other |