Dealing with risks in patient care
Quality management
A. Fischer
Qualitätsmanagement
Keltenstraße 67
97318 Kitzingen
Phone:
09321
-704-4412
Mail:
ed.lk-k@rehcsif.ardnaxela
Vorstand, Leitungsrunde, QM
Conference frequency: monatlich
Risk management
A. Fischer
Qualitätsmanagement
Keltenstraße 67
97318 Kitzingen
Phone:
09321
-704-4412
Fax: 09321-704-4449
Mail:
ed.lk-k@rehcsif.ardnaxela
C. Sommer
Chefarzt Notaufnahme
Keltenstraße 67
97318 Kitzingen
Phone:
09321
-704-1100
Fax: 09321-704-4449
Mail:
ed.lk-k@mrk
QM, Pflege, Ärzte
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Berichte zum Risiko-Assessment (12.05.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management "Schockraum-Manual" (02.05.2021) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement (08.05.2023) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (20.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) SOP "Dekubitusprophylaxe" (18.04.2023) |
| RM08 |
Regulated handling of custodial measures Freiheitseinschränkende Maßnahmen (17.04.2023) |
| 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 WHO Sicherheits-Checkliste (03.11.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO Sicherheits-Checkliste (03.11.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups WHO Sicherheits-Checkliste (03.11.2022) |
| RM17 |
Standards for recovery and postoperative care Postoperative Überwachung (07.12.2021) |
| RM18 |
Discharge management Entlassmanagement (21.06.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Ergibt sich aus den jeweiligen Meldungen.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.12.2022 |
| 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: monatlich
| 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) |