Dealing with risks in patient care

Quality management

Nathalie Gauer

Qualitätsmanagementbeauftragte

Högenauer Weg 5
86529 Schrobenhausen

Phone: 08252 -94-6161
Mail: ed.bos-hkk@bmq

Gülsüm Özen

Qualitätsmanagementbeauftragte

Högenauer Weg 5
86529 Schrobenhausen

Phone: 08252 -94-6172
Mail: ed.bos-hkk@bmq

Geschäftsführung Qualitätsmanagement

Conference frequency: quartalsweise

Risk management

Nathalie Gauer

Qualitätsmanagementbeauftragte

Högenauer Weg 5
86529 Schrobenhausen

Phone: 08252 -94-6161
Mail: ed.bos-hkk@bmq

Gülsüm Özen

Qualitätsmanagementbeauftragte

Högenauer Weg 5
86529 Schrobenhausen

Phone: 08252 -94-6172
Mail: ed.bos-hkk@bmq

Geschäftsführung Qualitätsmanagement

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagementhandbuch (16.06.2022)

RM03

Employee surveys

RM04

Clinical emergency management

Qualitätsmanagementhandbuch (16.06.2022)

RM05

Pain management

Qualitätsmanagementhandbuch (16.06.2022)

RM06

Fall prophylaxis

Qualitätsmanagementhandbuch (16.06.2022)

RM07

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

Qualitätsmanagementhandbuch (16.06.2022)

RM08

Regulated handling of custodial measures

Qualitätsmanagementhandbuch (16.06.2022)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagementhandbuch (16.06.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Geriatriebesprechung
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM15

Preoperative, complete presentation of necessary findings

Qualitätsmanagementhandbuch (16.06.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Qualitätsmanagementhandbuch (16.06.2022)

RM17

Standards for recovery and postoperative care

Qualitätsmanagementhandbuch (16.06.2022)

RM18

Discharge management

Qualitätsmanagementhandbuch (16.06.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Verbesserung verschiedener Prozesse

No. Explanation
IF01

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

As of: 27.09.2022

IF02

Internal evaluation of the received reports

taken bei Bedarf

Conference committee

Conference frequency: bei Bedarf

No. Explanation

Other