Dealing with risks in patient care
Quality management
PD Dr. med. Darius Kubulus
Leitung Zentrales OP-Management und Qualitätsmanagement
Kirrberger Straße 100
66421 Homburg
Phone:
06841
-16-30510
Mail:
ue.sku@sulubuk.suirad
Chirurgisches Zentrum; Zentrum für Frauen, Kinder und Adoleszente; Zentrum für Innere Medizin; Interdisziplinäres Zentrum; Neurozentrum; Radiologisches Zentrum; Zentrum für Infektionskrankheiten; Zentrum für Zahn-, Mund- und Kieferheilkunde; Zentrum für Pathologie und Rechtsmedizin.
Conference frequency: quartalsweise
Risk management
Patrick Höchst
Klinischer Risikomanager
Kirrberger Straße 100
66421 Homburg
Phone:
06841
-16-37721
Fax: 06841-16-30511
Mail:
ue.sku@tshceoh.kcirtap
Chirurgisches Zentrum; Zentrum für Frauen, Kinder und Adoleszente; Zentrum für Innere Medizin; Interdisziplinäres Zentrum; Neurozentrum; Radiologisches Zentrum; Zentrum für Infektionskrankheiten; Zentrum für Zahn-, Mund- und Kieferheilkunde; Zentrum für Pathologie und Rechtsmedizin.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Portal (30.10.2017) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallinformation und Katastropheneinsatzplan (15.12.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Portal (30.10.2017) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Portal (30.10.2017) |
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Portal (30.10.2017) |
| RM18 |
Discharge management Entlassmanagement am UKS (13.09.2017) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Patientenidentifikationsarmbänder, Patientenbefragung, Safe Surgery Chesckliste und Beschwerdemanagement.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.05.2014 |
| 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: 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) |