Dealing with risks in patient care
Quality management
Dr. Michael Wagner
Zentralbereichsleitung Medizincontrolling / Qualitätsmanagement
Krankenhausstraße 70
85276 Pfaffenhofen
Phone:
08441
-79-1056
Mail:
moc.znaillakinilk@rengaw.leahcim
Monika Nowacka
Leitung Qualitätsmanagement
Krankenhausstraße 70
85276 Pfaffenhofen
Phone:
08441
-79-1076
Mail:
moc.znaillakinilk@akcawon.akinom
AG-QM (Qualitätsmanagement / Risikomanagement / Medizinischer Bereich / Verwaltungsbereich / Hygiene)
Conference frequency: andere Frequenz
Risk management
Christoph Seika
Risikomanager / Unternehmensentwicklung
Krankenhausstraße 70
85276 Pfaffenhofen
Phone:
08441
-79-1074
Mail:
moc.znaillakinilk@akies.hpotsirhc
Elisabeth Maier
Risikomanager
Krankenhausstraße 70
85276 Pfaffenhofen
Phone:
08441
-79-1052
Mail:
moc.znaillakinilk@reiam.htebasile
Dr. Hanne Kayser
Risikomanager
Krankenhausstraße 70
85276 Pfaffenhofen
Phone:
08441
-79-1052
Mail:
moc.znaillakinilk@resyak.ennah
AG-QM (Qualitätsmanagement / Risikomanagement / Medizinischer Bereich / Verwaltungsbereich / Hygiene)
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM05 |
Pain management Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM06 |
Fall prophylaxis Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM08 |
Regulated handling of custodial measures Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| 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 Inhalte der QM-und Risiko-Softwaremodule (08.09.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM17 |
Standards for recovery and postoperative care Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
| RM18 |
Discharge management Inhalte der QM- und Risiko-Softwaremodule (08.09.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Verbesserte Kommunikation zwischen den Fachzentren und dem Einkauf bezüglich der Anschaffung von Medizinprodukten.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.09.2022 |
| 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 |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |