Dealing with risks in patient care
Quality management
Es findet monatlich ein Jourfix zu aktuellen QM-Themen statt. Zudem finden monatliche, standortübergreifende Treffen der QMBs des GRN statt, um relevante QM/RM-Themen zu besprechen, diese werden von dort über den Zentralen Geschäftsbereich in die GF-Sitzung bzw. ein übergeordnetes Gremium gegeben.
Conference frequency: monatlich
Risk management
Monika Gaa
Stabsstelle Risikomanagement
Scheuerberg Str. 3
69412 Eberbach
Phone:
06202
-84-653392
Mail:
ed.nrg@aag.akinom
. Alle 2 Wochen findet GRN übergreifend ein Treffen mit allen Qualitätsmanagementbeauftragten statt. Wöchentlicher Austausch mit der Klinikleitung. Regelmäßige fachabteilungsbezogene (mtl. / quartalsweise) Qualitätszirkel.
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available im Aufbau seit (01.05.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Reanimations-/Notfallmanagement (26.10.2020) |
| RM05 |
Pain management Schmerztherapie (18.11.2014) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (17.03.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (01.09.2009) |
| RM08 |
Regulated handling of custodial measures Fixation (30.01.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Medizinprodukte Handbuch (01.05.2014) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings perioperativer Sicherheitscheck Time out (09.07.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung Time-out (28.07.2014) |
| RM18 |
Discharge management Entlassmanagement (19.11.2018) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Standards
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.02.2014 |
| 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 jährlich |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |