Dealing with risks in patient care
Quality management
Frau Denise Apelt
Leitung Qualitäts- und Projektmanagement
Müller-Gandenegg-Weg 4
86633 Neuburg a. d. Donau
Phone:
08431
-54-3700
Mail:
ed.kinilk-htebasile-tknas@tlepa.esined
Conference frequency:
Risk management
Denise Apelt
Leitung Qualitäts- und Projektmanagement
Müller-Gandenegg-Weg 4
86633 Neuburg a. d. Donau
Phone:
08431
-54-3700
Fax: 08431-54-1169
Mail:
ed.kinilk-htebasile-tknas@tlepa.esined
Ärztlicher Direktor, stellvertretende Krankenhausdirektorin, Leitung Qualitäts- und Projektmanagement, Mitarbeiter Pflege
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM05 |
Pain management Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM08 |
Regulated handling of custodial measures Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanleitung Risikomanagement (01.03.2023) |
| 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 Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanleitung Risikomanagement (01.03.2023) |
| RM18 |
Discharge management Verfahrensanleitung Risikomanagement (01.03.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Analyse der eingegangenen Meldungen und Ableitung von Maßnahmen zur Verbesserung von Prozess- und Ergebnisqualität
| No. | Explanation |
|---|---|
| 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 bei Bedarf |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |