Dealing with risks in patient care
Quality management
Andrea Halberschmidt
Qualitätsmanagerin
St.-Johannis-Mühlgasse 19
90419 Nürnberg
Phone:
0911
-3340-5058
Mail:
ed.oenokaid@tdimhcsreblah.aerdna
Geschäftsführender Leiter, Verwaltungsleitung, Einkauf und Materialwirtschaft, Pflegedirektorin, Controlling, Patientenmanagement, Patientenverwaltung, Qualitätsmanagerin
Conference frequency: quartalsweise
Risk management
Andrea Halberschmidt
Qualitätsmanagerin
St.-Johannis-Mühlgasse 19
90419 Nürnberg
Phone:
0911
-3340-5058
Fax: 0911-3340-5021
Mail:
ed.oenokaid@tdimhcsreblah.aerdna
Oberärzte aus den Bereichen Klinik Hallerwiese und Cnopfsche Kinderklinik, Pflegefachpersonal Klinik Hallerwiese und Cnopfsche Kinderklinik, Qualitätsmanagerin
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Umsetzungsstand Klinisches Risikomanagement (01.12.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Innerklinische Notfallversorgung (22.08.2022) |
| RM05 |
Pain management Akutschmerz (30.11.2022) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (20.09.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (20.09.2022) |
| RM08 |
Regulated handling of custodial measures Umgang mit freiheitsentziehenden Maßnahmen (16.10.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Präoperative Vorbereitung (17.11.2022) |
| RM17 |
Standards for recovery and postoperative care Standard Aufwachraum Kinder/ Erwachsene (22.08.2022) |
| RM18 |
Discharge management Entlassmanagement nach §39 Abs.1a Satz 9 SGB V (16.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einführung von Patientenarmbändern für alle Patienten, Einführung von OP Checklisten für alle operativen Fächer, AMTS, Präanalytik
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |