Dealing with risks in patient care

Quality management

Nicole Rieger

Abteilungsleitung

Peter-Dörfler-Straße 7
86807 Buchloe

Phone: 08341 -42-3027
Mail: ed.fk-lao-nekinilk@regeiR.elociN

Zentrale Qualitätsmanagementverantwortliche

Conference frequency: bei Bedarf

Risk management

Nicole Rieger

Abteilungsleitung

Peter-Dörfler-Straße 7
86807 Buchloe

Phone: 08341 -42-3027
Fax: 08341-42-3036
Mail: ed.fk-lao-nekinilk@regeiR.elociN

Mitarbeiter aus folgenden Bereichen: Ärzte, Pflege, Funktion, Facility Management und Verwaltung

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Prozessbeschreibung - Risikomanagement (18.11.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Hierfür gibt es mehrere Dokumente, wie z.B. den Alarm- und Einsatzplan (24.07.2023)

RM05

Pain management

1.14 Schmerzmanagement (05.10.2015)

RM06

Fall prophylaxis

Standard - Sturzprävention D623 (24.02.2016)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Standard - Dekubitusprophylaxe (24.02.2016)

RM08

Regulated handling of custodial measures

Standard - Einsatz freiheitsbegrenzender Maßnahmen (26.07.2016)

RM09

Regulated handling of occurring malfunctions of devices

Prozessbeschreibung - Umgang mit fehlerhaften Produkten (08.03.2016)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Mortalitäts- und Morbiditätskonferenzen
  • Klinikkonferenzen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Standard - Patientenidentifikationsarmband (27.10.2015)

RM17

Standards for recovery and postoperative care

Hierfür gibt es mehrere Dokumente, wie z.B. den Standard - 7.2.1 Allgemeine postoperative Pflege (21.04.2020)

RM18

Discharge management

Entlassungsmanagement in der Pflege (14.03.2016)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Umsetzung von multiplen Maßnahmen und Schulungen.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 09.03.2016

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: 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)