Dealing with risks in patient care
Quality management
Frau Andrea Schöne Annette Schmidt
QM
Klaus-Tussing-Straße 1
66386 St. Ingbert
Phone:
06894
-108-503
Mail:
ed.bgi-eirtaireg-hkk@mq
Benannte Mitglieder
Conference frequency: monatlich
Risk management
Peter Zwirner
Geschäftsführer
Klaus-Tussing-Straße 1
66386 St. Ingbert
Phone:
06894
-108-111
Fax: 06894-108-134
Mail:
ed.bgi-eirtaireg-hkk@fg
Benannte Mitglieder
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Geschäftsordnung Risikomanagement (12.12.2018) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Dienstanweisung zum Notfallmanagement (05.03.2021) |
| RM05 |
Pain management Konsensus SOP – Postoperative Schmerztherapie (konservativ/invasiv) (27.04.2023) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Sturzprophylaxe (07.04.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe /Behandlung (18.02.2021) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Freiheitsentziehende Maßnahmen (FeM) (13.02.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (28.02.2023) |
| 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 SOP PBM (07.05.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings OP Checkliste (27.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Checkliste (27.12.2022) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanweisung Anästhesie (07.01.2022) |
| RM18 |
Discharge management Verfahrensanweisung Entlassmanagement (07.10.2019) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Konkrete Maßnahmen zur Verbesserung der Patientensicherheit
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.03.2016 |
| 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: halbjährlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |