Dealing with risks in patient care
Quality management
Sabrina Rehm
Leitung Qualitäts- und Risikomanagement
Ulmer Straße 26
89143 Blaubeuren
Phone:
07391
-5860-
Mail:
ed.hbmg-kda@mher.s
Geschäftsführung, Chefärzte, Pflegedirektion, Pflegedienstleitung, Qualitätsmanagement
Conference frequency: quartalsweise
Risk management
Geschäftsführung, Chefärzte, Pflegedirektion, Pflegedienstleitung, Qualitätsmanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (10.01.2023) |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement (02.12.2022) |
| RM05 |
Pain management Schmerztherapie im Alb-Donau Klinikum (15.12.2022) |
| RM06 |
Fall prophylaxis Pflege - Sturzprophylaxe gemäß Expertenstandard DNQP (03.04.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflege - Dekubitusprophylaxe gemäß Expertenstandard DNQP (22.04.2025) |
| RM08 |
Regulated handling of custodial measures Anregung zur Bestellung eines Betreuers (09.03.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung für den Umgang/ die Anwendung mit/ von Medizinprodukten (02.09.2024) |
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Patientenidentifikationsband (07.09.2022) |
| RM17 |
Standards for recovery and postoperative care Narkoseprotokoll (03.09.2025) |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement (13.06.2024) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Einsatz von Patientenidentifikationsarmbänder
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.09.2025 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |