Dealing with risks in patient care
Quality management
Julia Rögner
Leitung Qualitätsmanagement
Simonshofer Straße 55
91207 Lauf
Phone:
09123
-180-550
Mail:
ed.fual-hk@rengeoR.aliuJ
Ärzte / Pflege / Funktion / QM
Conference frequency: monatlich
Risk management
Guido Schmidt
Geschäftsführer
Simonshofer Straße 55
91207 Lauf
Phone:
09123
-180-113
Fax: 09123-180-188
Mail:
ed.dnal-regrebnreun-hk@tairaterkes
Qualitätsmanagement, Geschäftsführung, ext. Qualitätssicherung
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- und Risikomanagement Dokumentation vom (01.04.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Notfallalarmierung vom (01.06.2024) |
| RM05 |
Pain management SOP Anleitung Schmerzschema "Ampelbogen" vom 2023-10-01, Standard Schmerzmanagement vom (01.02.2023) |
| RM06 |
Fall prophylaxis Expertenstandard von 2022, CL Sturzrisikoerfassung und Maßnahmenveranlassung von 03/2023, Arbeitsanweisung Sturzprohylaxe und Sturzerfassung vom (15.01.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard, Arbeitsanweisung Dekubitusprophylaxe vom (06.10.2023) |
| RM08 |
Regulated handling of custodial measures Geschäftsanweisung für das Vorgehen bei freiheitsentziehenden Maßnahmen vom (21.12.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Geschäftsanweisung MPG vom 01.06.2022, Verfahrensanweisung Reparaturen med. Geräte vom (01.09.2019) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| 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 WHO-Sicherheits-Checkliste operativer Eingriff vom (01.06.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut vom (01.12.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Statut vom (01.12.2024) |
| RM17 |
Standards for recovery and postoperative care OP-Statut vom (01.12.2024) |
| RM18 |
Discharge management VA zum Einholen der Einwilligung im Rahmen des Entlassmanagements vom (26.08.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Schulungen, Aktualisierung entsprechender Standards.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.07.2024 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |