Dealing with risks in patient care

Quality management

Aljoscha Lubos

Geschäftsführender Direktor

Schmiedwegerl 2-6
81241 München

Phone: 089 -92794-1570
Mail: ed.nekinilk-sobul@teatilauq

Eine verantwortliche Person aus jedem Funktionsbereich

Conference frequency: wöchentlich

Risk management

Aljoscha Lubos

Geschäftsführender Direktor

Phone: 089 -92794-1570
Mail: ed.nekinilk-sobul@teatilauq

Eine verantwortliche Person aus jedem Funktionsbereich

Conference frequency: wöchentlich

Risk management instruments and measures

No. Explanation
RM01

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

Digitales QM-Handbuch im Intranet (20.10.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Digitales QM-Handbuch im Intranet (20.10.2022)

RM05

Pain management

Digitales QM-Handbuch im Intranet (20.10.2022)

RM06

Fall prophylaxis

Digitales QM-Handbuch im Intranet (20.10.2022)

RM07

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

Expertenstandard Dekubitusprophylaxe in der Pflege (20.10.2022)

RM09

Regulated handling of occurring malfunctions of devices

Digitales QM-Handbuch im Intranet (20.10.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Beckenbodenzentrum
  • Endometriose/Myom
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

WHO Standard (20.10.2022)

RM15

Preoperative, complete presentation of necessary findings

WHO Standard (20.10.2022)

RM16

Procedure to avoid procedural and patient mix-ups

WHO Standard (20.10.2022)

RM17

Standards for recovery and postoperative care

WHO Standard (20.10.2022)

RM18

Discharge management

Nach gesetzlichen Vorgaben SGB V (20.10.2022)

Fault reporting systems

Conference committee

Conference frequency: wöchentlich

Measures

Fehler und Beschwerdemanagement, CIRS, Patientenbarometer, Befragungen, Patientenfürsprecher, Team-Time-Out, Patientenarmbänder mit Barcode, Prä-OP-Checkliste

No. Explanation
IF01

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

As of: 20.10.2022

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 jährlich

Conference committee

Conference frequency: wöchentlich

No. Explanation

Other