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Klinikum Landkreis Erding-Klinik Dorfen

Dealing with risks in patient care

Quality management

Responsible person

Regina Salten-Wandinger

Qualitätsbeauftragte

Erdinger Straße 17
84405 Dorfen

Phone: 08122 -595599-
Mail: ed.gnidre-mukinilk@netlas.aniger

Steering committee

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

Responsible person

Regina Salten-Wandinger

Qualitätsbeauftragte

Erdinger Straße 17
84405 Dorfen

Phone: 08122 -595599-
Mail: ed.gnidre-mukinilk@netlas.aniger

Steering committee

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

Instruments and measures

No.	Explanation
RM01	Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementkonzept; Organisationskonzept Risikomanagement (16.05.2022)
RM02	Regular further education and training measures
RM03	Employee surveys
RM04	Clinical emergency management Organisation Notfallversorgung (06.07.2021)
RM05	Pain management Umsetzung Expertenstandard Schmerzmanagement (21.09.2021)
RM06	Fall prophylaxis Umsetzung des Nationalen Expertenstandards Sturzprophylaxe (05.09.2022)
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 (09.09.2022)
RM08	Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (13.06.2022)
RM09	Regulated handling of occurring malfunctions of devices Vorkommnismeldung intern (15.06.2020)
RM10	Structured implementation of interdisciplinary case discussions/conferences Case review conference Qualitätszirkel Tumorkonferenzen Mortalitäts- und Morbiditätskonferenzen Pathologiebesprechungen Palliativbesprechungen
RM12	Use of standardised information sheets
RM18	Discharge management Umsetzung des Nationalen Expertenstandards Entlassmanagement (02.09.2022)

Fault reporting systems

Internal to the institution

Conference committee

Conference frequency: quartalsweise

Measures

Erstellung einer Papierdokumentation bei Ausfall der digitalen Systeme

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

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

Across all institutions

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)