Dealing with risks in patient care

Quality management

Ralph Nitsche

Oberarzt

Staufener Straße 18
79189 Bad Krozingen

Phone: 4907633 -40020-
Mail: ed.kinilkrekceb@ehcstin.hplar

Geschäftsführung, Pflegedienstleitung, Verwaltung, ärztlicher Dienst, Funktionsdienst

Conference frequency: monatlich

Risk management

Geschäftsführung, Pflegedienstleitung, Verwaltung, ärztlicher Dienst, Funktionsdienst

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM05

Pain management

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM06

Fall prophylaxis

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM07

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

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM09

Regulated handling of occurring malfunctions of devices

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
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

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM15

Preoperative, complete presentation of necessary findings

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM16

Procedure to avoid procedural and patient mix-ups

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM17

Standards for recovery and postoperative care

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

RM18

Discharge management

VB_übergreifendes QM/RM_12/2023 (31.12.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Einführung von Checklisten, Teilnahme an KISS und externe Dokumentationssysteme mit Reportingfunktion

No. Explanation
IF01

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

As of: 31.12.2023

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 monatlich

Conference committee

Conference frequency: