Dealing with risks in patient care
Quality management
Madeleine Michel
QM-Beauftragte
Thomas-Mann-Straße 6
82340 Feldafing
Phone:
08157
-28-8570
Mail:
ed.demetra@lehcim.enieledam
Alle Abteilungen und Funktionen des Hauses im Rahmen der regelmäßigen Sitzungen des QM Arbeitskreises.
Conference frequency: monatlich
Risk management
Mandy Kerzendörfer-Gruhn
RM-Beauftragter
Thomas-Mann-Straße 6
82340 Feldafing
Phone:
08157
-28-0
Mail:
ed.demetra@nhurG-refreodnezreK.ydnaM
Im Rahmen der mtl. Sitzungen der Klinikleitung (CÄ, GF, KL, PDL)
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Prozessbeschreibung (12.12.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Prozessbeschreibung (16.06.2021) |
| RM06 |
Fall prophylaxis Prozessbeschreibung (14.10.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Prozessbeschreibung (16.06.2021) |
| RM08 |
Regulated handling of custodial measures Prozessbeschreibung (25.06.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Prozessbeschreibung (01.01.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Aufnahme und Bearbeitung von gemeldeten Fehlern und Beinahefehlern über ein CIRS. Besprechung im Rahmen der mtl. Sitzungen der Klinikleitung (CÄ, GF, KL, PDL).
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.06.2021 |
| 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: