Dealing with risks in patient care
Quality management
Andreas Zach
Pflegedirektor
August-Holz-Str. 1
93413 Cham
Phone:
09971
-2005-5000
Mail:
ed.anas@hcaz.saerdna
Die Qualitätskommission besteht aus den Mitgliedern der Krankenhausleitung und des Qualitätsmanagementbeauftragten.Die Qualitätskommission tagt quartalsweise im Rahmen einer Klinikleitersitzung.
Conference frequency: quartalsweise
Risk management
Andreas Zach
Pflegedirektor
August-Holz-Str. 1
93413 Cham
Phone:
09971
-2005-5000
Fax: 09971-2005-5099
Mail:
ed.anas@hcaz.saerdna
CIRS Sitzungen finden einmal monatlich statt, ansonsten werden die Themen des Risikomanagement im Rahmen der Qualitätskommission bearbeitet.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Reanimation Erwachsener (11.06.2024) |
| RM05 |
Pain management qm Schmerzkonzept (02.02.2025) |
| RM06 |
Fall prophylaxis VA Sturzprophylaxe (21.07.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (03.12.2024) |
| RM08 |
Regulated handling of custodial measures VA Freiheitsentziehende Maßnahmen (02.06.2025) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Samba Handbuch (10.12.2024) |
| 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 VA Patientenidentifikation (12.08.2021) |
| RM17 |
Standards for recovery and postoperative care Praxisleitfaden Anästhesie (18.03.2025) |
| RM18 |
Discharge management VA Entlassmanagement (03.09.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Konkretisierung des Alarmierungskonzepts kindlicher Notfall
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.08.2023 |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |