Dealing with risks in patient care

Quality management

Dr. med. Ulrich v. Hintzenstern

Chefarzt der Anästhesie und Intensivmedizin

Krankenhausstraße 10
91301 Forchheim

Phone: 09191 -610-212
Mail: ed.miehhcrof-mukinilk@eisehtseana

QMB, stellv. QMB, zentraler Dokumentenlenkungsbeauftragter

Conference frequency: andere Frequenz

Risk management

Ulrich v. Hintzenstern

Chefarzt der Anästhesie und Intensivmedizin

Krankenhausstr. 10
91301 Forchheim

Phone: 09191 -610-212
Fax: 09191-610-908
Mail: ed.miehhcrof-mukinilk@eisehtseana

div

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (14.01.2014)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM-Handbuch (14.01.2014)

RM05

Pain management

QM-Handbuch (14.01.2014)

RM06

Fall prophylaxis

AA-KHPD-075 (16.11.2013)

RM07

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

AA-KHPD-059 (13.08.2014)

RM08

Regulated handling of custodial measures

MI-MEDI-001 (08.03.2012)

RM09

Regulated handling of occurring malfunctions of devices

Dienstanweisung über den sicheren Umgang mit Medizinprodukten und zur Durchführung der Verordnung über das Errichten, Betreiben und Anwenden von Medizinprodukten (02.04.2007)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
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

QM-Handbuch (14.01.2014)

RM15

Preoperative, complete presentation of necessary findings

QM-Handbuch (14.01.2014)

RM16

Procedure to avoid procedural and patient mix-ups

MI-OPER-030 (12.07.2012)

RM17

Standards for recovery and postoperative care

AA-ARPD-001 (15.09.2014)

RM18

Discharge management

VA-KHPD-002 (16.12.2003)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

u.a. Einführung der chirurgischen Sicherheits-Checkliste

No. Explanation
IF01

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

As of: 22.03.2004

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 quartalsweise

Conference committee

Conference frequency: andere Frequenz

No. Explanation

Other