Dealing with risks in patient care

Quality management

Kerstin Schwarz

Abteilungsleitung Qualitätsmanagement

St.-Peter-Str. 31
95643 Tirschenreuth

Phone: 0961 -303-12400
Mail: ga.zlafprebodron-neknilk@zrawhcs.nitsrek

Abteilungsleitung QM mit Vorstand; bei Bedarf Themenbesprechung in Leitungskonferenzen.

Conference frequency: andere Frequenz

Risk management

Kerstin Schwarz

Abteilungsleitung Qualitätsmanagement

St.-Peter-Str. 31
95643 Tirschenreuth

Phone: 0961 -303-12400
Fax: 0961-303-12409
Mail: ga.zlafprebodron-neknilk@zrawhcs.nitsrek

Abteilungsleitung QM mit Vorstand; bei Bedarf Themenbesprechung in Leitungskonferenzen.

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

Risikomanagementhandbuch (09.03.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Medizinisches Notfallmanagement (20.08.2021)

RM05

Pain management

Schmerzmanagement (02.08.2022)

RM06

Fall prophylaxis

Sturzprophylaxe Checkliste (24.11.2022)

RM07

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

Dekubitusprophylaxe (17.08.2022)

RM08

Regulated handling of custodial measures

Patientenfixierung und Ruhigstellung (12.04.2016)

RM09

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medizintechnik (08.02.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • prä- und postoperative Besprechung Endoprothetikzentrum
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

OP Checkliste (31.07.2023)

RM15

Preoperative, complete presentation of necessary findings

OP Checkliste (31.07.2023)

RM16

Procedure to avoid procedural and patient mix-ups

Vermeidung von Eingriffsverwechslungen, Patientenarmband / Patientenidentifikation (15.05.2019)

RM17

Standards for recovery and postoperative care

Aufwachraum (14.01.2022)

RM18

Discharge management

Entlassmanagement (07.06.2021)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Übergreifende Regelungen im Qualitätsmanagementsystem im Sinne der kontinuierlichen Verbesserung.

No. Explanation
IF01

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

As of: 26.04.2023

IF02

Internal evaluation of the received reports

taken quartalsweise

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

Other