Kreiskrankenhaus St. Ingbert GmbH

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

Geschäftsführer

Peter Zwirner

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

RM03

Employee surveys

RM04

Clinical emergency management

Dienstanweisung zum Notfallmanagement (05.03.2021)

RM05

Pain management

Konsensus SOP – Postoperative Schmerztherapie (02.02.2015)

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 (18.03.2018)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
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 (28.04.2014)

RM16

Procedure to avoid procedural and patient mix-ups

Patientensicherheit-Übersicht (15.09.2021)

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 Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)