Dealing with risks in patient care
Quality management
Uwe Schneider
QMB
Wolkerweg 16
81375 München
Phone:
089
-7097-1177
Mail:
ed.munitsugua.dem@redienhcs
Ute Weber
QMB
Wolkerweg 16
81375 München
Phone:
089
-7097-1177
Mail:
ed.munitsugua.dem@tnemeganamsteatilauq
Qualitätsmanagement, Klinikleitung, Pflegedienstleitung, Ärztliche Direktion.
Conference frequency: monatlich
Risk management
Ulrike / Tobias / Uwe Reipka / Meis / Schneider
RMB
Wolkerweg 16
81375 München
Phone:
089
-70970-1177
Fax: 089-7097-1167
Mail:
ed.munitsugua.dem@redienhcs
Resad / Tobias / Ute Puhovac / Meis / Weber
RMB
Wolkerweg 16
81375 München
Phone:
089
-70970-1177
Fax: 089-7097-1167
Mail:
ed.munitsugua.dem@tnemeganamsteatilauq
Qualitätsmanagement, Klinikleitung, Pflegedienstleitung, Ärztliche Direktion.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Managementhandbuch für das Qualitätsmanagement der Augustinum Klinik München (29.11.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Managementhandbuch für das Qualitätsmanagement der Augustinum Klinik München (29.11.2022) |
| RM05 |
Pain management Managementhandbuch QM (18.01.2022) |
| RM06 |
Fall prophylaxis Standard zur Sturzprophylaxe Rev. 01 (24.03.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Problembezogener Standard – Dekubitusprophylaxe Ausgerichtet nach dem Expertenstandard „Dekubitusprophylaxe“ (08.12.2022) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen bei Patienten, Betreuung/Fixierung (ICU) (21.03.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisung Umgang mit defekten Geräten; Standard Meldung unerwünschter Ereignisse Medikamente und Medizinprodukte (04.10.2022) |
| 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 TAVI Vor- und Nachsorge Rev. 01 (09.02.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Managementhandbuch QM (18.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenidentifikationsbänder; Team-Time-Out -für Stationen und Endoskopie; Team-Time-Out HKL (28.06.2022) |
| RM17 |
Standards for recovery and postoperative care Standard Schleusenzug Aufwachraum - Kardiologie; Überwachungsprotokoll - Schleusenzug Aufwachraum - Kardiologie (24.03.2022) |
| RM18 |
Discharge management Managementhandbuch QM (18.01.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Übersicht Fehlereingang; CIRS Verfahrensanweisung (2022-05-30)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.05.2022 |
| 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: