Dealing with risks in patient care
Quality management
Frau Lydia Diart
QMB
Milchberg 21
82335 Berg-Kempfenhausen
Phone:
08151
-261-439
Mail:
ed.kinilk-sm@traid.aidyl
Geschäftsführung, Pflegedirektion, Finanzen, Qualitätsmanagement
Conference frequency: jährlich
Risk management
Ulrike Stimpfle
Ärztin
Milchberg 21
82335 Berg-Kempfenhausen
Phone:
08151
-261-0
Mail:
ed.kinilk-sm@ofni
Risikomanagement gemeinsam mit Qualitätsmanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (17.11.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Risikomanagementhandbuch (17.11.2022) |
| RM05 |
Pain management Expertenstandard Schmerz (02.01.2023) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (05.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (05.01.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagementhandbuch (17.11.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Risikomanagementhandbuch (17.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Systematische Erfassung, Analyse, Bewertung und Ableitung von Maßnahmen von Beschwerden, Anregungen, Meldungen kritischer Ereignisse und diversen Begehungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.08.2023 |
| 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 monatlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |