Dealing with risks in patient care
Quality management
Kristina Schmidt
Leiterin Qualitäts- und Risikomanagement
Knopfweg 1
74821 Mosbach
Phone:
06261
-83446-
Mail:
ed.nekinilk-dlawnedo-rakcen@tdimhcs.anitsirk
Geschäftsführer, Kaufmännischer Leiter, Leiterin Qualitäts- und Risikomanagement
Conference frequency: monatlich
Risk management
Kristina Schmidt
Leiterin Qualitäts- und Risikomanagement
Phone:
06261
-83446-
Mail:
ed.nekinilk-dlawnedo-rakcen@tdimhcs.anitsirk
Geschäftsführer, Kaufmännischer Leiter, Ärztlicher Direktor, Leiter Pflegedienst, Leiterin Qualitäts- und Risikomanagement
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch der Neckar-Odenwald-Kliniken (26.10.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch der Neckar-Odenwald-Kliniken (17.06.2021) |
| RM05 |
Pain management QM-Handbuch der Neckar-Odenwald-Kliniken (21.06.2022) |
| RM06 |
Fall prophylaxis QM-Handbuch der Neckar-Odenwald-Kliniken (20.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch der Neckar-Odenwald-Kliniken (13.10.2020) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch der Neckar-Odenwald-Kliniken (14.01.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch der Neckar-Odenwald-Kliniken (14.01.2022) |
| 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 QM-Handbuch der Neckar-Odenwald-Kliniken (22.09.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch der Neckar-Odenwald-Kliniken (24.08.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch der Neckar-Odenwald-Kliniken (24.08.2022) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch der Neckar-Odenwald-Kliniken (21.07.2021) |
| RM18 |
Discharge management QM-Handbuch der Neckar-Odenwald-Kliniken (24.08.2022) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
1. Aufgrund der Corona-Pandemie werden Mitarbeiter aus verschiedenen Berufsgruppen in unterschiedlichen Bereichen flexibel eingesetzt, um die neuen Herausforderungen gut meistern zu können. 2. Umsetzung der Besucherregelungen sowie weiteren Vorgaben aufgrund der Pandemie nach den aktuellen Empfehlungen.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.05.2020 |
| 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 jährlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |