Dealing with risks in patient care

Quality management

PD Dr. med. Immo Schroeder-Printzen

Zentrales Qualitätsmanagement

Rudolf-Buchheim-Straße 8
35392 Gießen

Phone: 0641 -985-60
Mail: ed.mg-ku@neztnirp-redeorhcs.ommi

AGF ÄD PD

Conference frequency: bei Bedarf

Risk management

Christiane Hinck-Kneip

Kaufmännische Geschäftsführung

Rudolf-Buchheim-Straße 8
35392 Gießen

Phone: 0641 -985-60
Fax: 0641-985-40109
Mail: ed.mg-ku@ig.fgk

Ombudsfrau, Ärtzlicher Direktor, Kaufmannische Geschäftsleitung, Pflegedirektor, GB Technik, Rechtsabteilung, Qualitätsmanagement sowie weitere Geschäftsbereiche je nach Fragestellung. Betrifft nur CIRS

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

R2C System standortübergreifend für das kaufmännische RM (06.10.2015)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Notfallmanagement (15.10.2015)

RM05

Pain management

SOP Schmerzmanagement in der Anästhesie (15.09.2014)

RM06

Fall prophylaxis

Sturzskala (14.10.2003)

RM07

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

Planungs- und Handlungsleitlinien (15.06.2001)

RM08

Regulated handling of custodial measures

VA Freiheitsentziehende Maßnahmen (01.06.2006)

RM09

Regulated handling of occurring malfunctions of devices

VA Betrieb Medizintechnischer Geräte (02.02.2015)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
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

WHO CHeckliste (20.04.2017)

RM15

Preoperative, complete presentation of necessary findings

WHO Checkliste (20.04.2017)

RM16

Procedure to avoid procedural and patient mix-ups

VA Patientenarmbänder (01.02.2012)

RM17

Standards for recovery and postoperative care

SOP Weaning Protokoll (11.02.2010)

RM18

Discharge management

VA Entlassmanagement (01.09.2004)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Siehe unte A-12.2.3.1 Instrumente und Maßnahmen

No. Explanation
IF01

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

As of: 01.02.2016

IF02

Internal evaluation of the received reports

taken jährlich

IF03

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

taken jährlich

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)