Dealing with risks in patient care

Quality management

Greschner Barbara

Leitung QM

Höhenstraße 56
87629 Hopfen am See

Phone: 08362 -12-4864
Mail: ed.grebsnezne-kinilkhcaf@renhcserg.arabrab

Chefärzte, Klinikdirektion, Personalleitung, QM-Team aus den Bereichen Therapie, Pflegedienst, Verwaltung

Conference frequency: monatlich

Risk management

Greschner Barbara

Leitung QM

Höhenstraße 56
87629 Hopfen am See

Phone: 08362 -12-4864
Fax: 08362-12-3030
Mail: ed.grebsnezne-kinilkhcaf@renhcserg.arabrab

Chefärzte, Klinikdirektion, Personalleitung, QM-Team aus den Bereichen Therapie, Pflegedienst, Verwaltung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (28.06.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM-Handbuch (28.06.2023)

RM05

Pain management

QM-Handbuch (28.06.2023)

RM06

Fall prophylaxis

QM-Handbuch (28.06.2023)

RM07

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

QM-Handbuch (28.06.2023)

RM08

Regulated handling of custodial measures

QM-Handbuch (28.06.2023)

RM09

Regulated handling of occurring malfunctions of devices

QM-Handbuch (28.06.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Fallbesprechungen
  • Röntgenbesprechungen
  • Patientenkonferenzen
RM12

Use of standardised information sheets

RM18

Discharge management

QM-Handbuch (28.06.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Dauerhafte Bereitstellung von Funkgeräten auf allen Stationen zur Gewährleistung der Kommunikation bei Telefonanlagenausfall/-störung.

No. Explanation
IF01

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

As of: 28.06.2023

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: