Dealing with risks in patient care
Quality management
Marcell Burger
Qualitäts- und Prozessmanagement
Friedrich-Husemann-Weg 8
79256 Buchenbach
Phone:
07661
-392-134
Mail:
ed.kinilk-nnamesuh-hcirdeirf@regrub
Klinikleitung und QM
Conference frequency: halbjährlich
Risk management
Marcell Burger
Qualitäts- und Prozessmanagement
Friedrich-Husemann-Weg 8
79256 Buchenbach
Phone:
07661
-392-134
Fax: 07661-392-142
Mail:
ed.kinilk-nnamesuh-hcirdeirf@regrub
Klinikleitung und QM
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Dokumentation (11.09.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallkonzept (04.11.2022) |
| RM06 |
Fall prophylaxis Standard Sturzprophylaxe (11.11.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (09.11.2021) |
| RM08 |
Regulated handling of custodial measures Zwangsmaßnahmen (10.02.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Vorkommnis-Meldungen und Rückrufe von Medizinprodukten (26.11.2019) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Prozesszuständigkeiten und -ablauf im Entlassmanagement (14.02.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
regelhafte Teilnahme der Therapeut*innen an den Schulungen zu den lebensrettenden Sofortmaßnahmen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.09.2023 |
| 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 bei Bedarf |
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) |