Dealing with risks in patient care
Quality management
Flotillenarzt Rainer Schieren
Stv. Direktor ZKM, Leiter Qualitätsmanagement
Oberer Eselsberg 40
89081 Ulm
Phone:
0731
-1710-26700
Mail:
gro.rhewsednub@tnemeganamsteatilauQmlUshrKwB
Leitungsteam ZKM, bei Bedarf Leitender Ärztlicher Direktor und Kommandeur Bundeswehrkrankenhaus Ulm
Conference frequency: wöchentlich
Risk management
Rainer Schieren
Stv. Direktor ZKM, Leiter Qualitätsmanagement
Oberer Eselsberg 40
89081 Ulm
Phone:
0731
-1710-26700
Fax: 0731-1710-26718
Mail:
gro.rhewsednub@tnemeganamsteatilauQmlUshrKwB
Leitungsteam ZKM, bei Bedarf Leitender Ärztlicher Direktor und Kommandeur Bundeswehrkrankenhaus Ulm
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement Dok.-Nr. 13322 (16.03.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management OP-Statut (13.05.2019) |
| RM05 |
Pain management SOP Akutschmerz (21.09.2022) |
| RM06 |
Fall prophylaxis Pflegestandart Sturzprophylaxe Dok.-Nr. 76631 (09.03.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandart Dekubitusprophylaxe Dok.-Nr. 76602 (01.03.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Arbeitsanweisung - Umgang mit Störung und Schaden bei Medizinprodukten (22.03.2023) |
| 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 OP-Statut mit OP-Checkliste (13.05.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut mit OP-Checkliste (13.05.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenarmbändchen (18.06.2013) |
| RM17 |
Standards for recovery and postoperative care Arbeitsanweisung Ausleitung und Transport (26.01.2023) |
| RM18 |
Discharge management Arbeitsanweisung Entlassmanagement (23.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Apotheke auf Station, Persönliche präoperative Visite, Aktualisierter Meldewesenprozess für Fehler/Schäden und Verbesserungspotenziale, CIRS für Beinahe-Fehler, Team-Time-Out nach "Sicherheits-Checkliste Chirurgie", Einheitliche und aktualisierte Checkliste ZOP
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.08.2022 |
| 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: monatlich
| No. | Explanation |
|---|---|
|
Other |