Dealing with risks in patient care
Quality management
Herr Boris Kmietschak
Leiter Qualitätsmanagement
Röntgenstr. 2
88048 Friedrichshafen
Phone:
07541
-961159-
Mail:
ed.nf-mukinilk@kahcsteimk.b
Direktorium
Conference frequency: bei Bedarf
Risk management
Direktorium
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available FN_KO_Qualitätskonzept (16.11.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management FN_AA_Ablauf_innerklinischer_Notfall_Basismaßnahmen (10.11.2022) |
| RM05 |
Pain management FN_ANÄ_KO_Organisation_des_Akutschmerzdienstes_am_Klinikum_FN (03.12.2022) |
| RM06 |
Fall prophylaxis FN_PD_ST_Sturzprophylaxe (08.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) CAMP_PD_VA_Dekubitusvermeidung (01.09.2021) |
| RM08 |
Regulated handling of custodial measures CAMP_ST_Freiheitsentziehende_Maßnahmen (12.01.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices FN_VA_Betrieb_Medizinprodukte (28.07.2022) |
| 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 CAMP_FB_Checkliste_OP_Patientensicherheit (10.12.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings CAMP_FB_Checkliste_OP_Patientensicherheit_PASI (10.12.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups CAMP_FB_Checkliste_OP_Patientensicherheit_PASI (10.12.2021) |
| RM17 |
Standards for recovery and postoperative care FN_ANÄ_ST_Überwachung_im_AWR (12.07.2021) |
| RM18 |
Discharge management CAMP_ST_Prozess_Entlassmanagement (12.02.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Z.B. wurden Abläufe im Zusammenhang mit der Corona-Pandemie geregelt / angepasst. Neue Telefonanlage installiert.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 24.03.2016 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |