Kreisklinik Wörth an der Donau

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

QM-Handbuch (07.04.2022)

Regular further education and training measures

Clinical emergency management

Internes Notfallkonzept (08.04.2019)

Pain management

Schmerztherapie EPZ / ZFS (und andere) (01.08.2023)

Fall prophylaxis

Sturzprophylaxe (19.10.2020)

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

Dekubitusprophylaxe (01.08.2022)

Regulated handling of custodial measures

Fixierung von Patienten (24.06.2021)

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medizintechnik (06.02.2020)

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

• Qualitätszirkel
• Tumorkonferenzen
• Mortalitäts- und Morbiditätskonferenzen
• Zentrumsbesprechungen
• Arztbesprechungen
• Pathologiebesprechungen auf Anfrage

Use of standardised information sheets

Application of standardised surgical check lists

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

tägliche OP-Vorbesprechung (OP's vom nächsten Tag werden besprochen) Arbeitsliste täglich (02.03.2021)

Preoperative, complete presentation of necessary findings

Akten-Checklisten (15.03.2022)

Procedure to avoid procedural and patient mix-ups

Patientenarmband (13.02.2023)

Standards for recovery and postoperative care

Aufwachraum und postoperative Versorgung (04.02.2020)

Discharge management

Mehrere SOP (12.01.2023)

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

As of: 17.02.2021

Internal evaluation of the received reports

taken monatlich

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken monatlich