Dealing with risks in patient care
Quality management
Michael Kappl
Qualitätsmanagement und Prozessgestaltung
Bayerwaldring 17
94405 Landau a. d. Isar
Phone:
0991
-380-1293
Mail:
ed.mukinilk-rasi-uanod@lppak.leahcim
Jour Fixe mit dem Vorstand & QM-Netzwerk
Conference frequency: monatlich
Risk management
Michael Welsch
Risikomanagement
Bayerwaldring 17
94405 Landau a. d. Isar
Phone:
0991
-380-3406
Mail:
ed.mukinilk-rasi-uanod@hcslew.leahcim
Alle Bereiche sind vertreten.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available R Organisation des Risikomanagements gKU (22.02.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management DA Organisation Medizinisches Notfallmanagement gKU (29.06.2020) |
| RM05 |
Pain management Berufsübergreifenden Leitlinie Schmerzmanagement (06.12.2014) |
| RM06 |
Fall prophylaxis MA zum Expertenstandard Sturzprophylaxe gKU (05.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) MA zum Expertenstandard Dekubitusprophylaxe (05.12.2022) |
| RM08 |
Regulated handling of custodial measures R zur Fixierung gKU (04.10.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices DA Medizinprodukte Betreiber Verordnung (MPBetreibV) gKU (25.10.2022) |
| 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 DA Organisation OP Management (01.09.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings DA Organisation OP Managament gKU (01.09.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups PB Organisation der Patientenidentifikation gKU (04.08.2022) |
| RM17 |
Standards for recovery and postoperative care PB postoperative Überwachung von Wöchnerinnen (29.03.2017) |
| RM18 |
Discharge management PB Entlassmanagement gKU (31.01.2020) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
2018 wurden 23 aus 83 Verbesserungsmaßnahmen umgesetzt. 2020: 61 abgeschlossene Maßnahmen aus 120 Meldungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 26.09.2017 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |