Dealing with risks in patient care
Quality management
Barbara Besserer
Leiterin Stabstelle Qualitätsmanagement, klinisches Risikomanagement, Betriebsorganisation
Friedberger Landstraße 430
60389 Frankfurt.de
Phone:
069
-475-1526
Mail:
ed.trufknarf-ugb@reresseb.arabrab
Carina Ott
Leitung Qualitätsmanagement
Friedberger Landstraße 430
60389 Frankfurt.de
Phone:
069
-475-4997
Mail:
ed.trufknarf-ugb@tto.anirac
Geschäftsführung, Ärztlicher Direktor, Pflegedirektion, Betriebsrat, Qualitätsmanagement
Conference frequency: halbjährlich
Risk management
Barbara Besserer
Leiterin Stabstelle Qualitätsmanagement, klinisches Risikomanagement, Betriebsorganisation
Friedberger Landstraße 430
60389 Frankfurt
Phone:
069
-475-1526
Mail:
ed.trufknarf-ugb@reresseb.arabrab
Stellv. Ärztlicher Direktor, Pflegedirektorin, Betriebsrat, Qualitätsmanagement, Patientensicherheitsbeauftragte, Anästhesie
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept klinisches Risikomanagement und CIRS (12.05.2016) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Standard Verhalten bei lebensbedrohlichen Maßnahmen und Reanimation (15.06.2020) |
| RM05 |
Pain management Standard Akutschmerztherapie inkl. Schemata Akutschmerztherapie (16.01.2023) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Sturzprophylaxe und Expertenstandard Sturz (05.02.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung Expertenstandard Dekubitusprophylaxe (16.04.2020) |
| RM08 |
Regulated handling of custodial measures Leitlinie zu Fixierung von Patienten (30.09.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung zur Umsetzung des Medizinproduktegesetzes und der Medizinproduktebetreiberverordnung (24.03.2016) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups G_AEP Checkliste zur Patientenbehandlung (23.09.2019) |
| RM17 |
Standards for recovery and postoperative care Standard Patientenüberwachung nach Anästhesieverfahren (12.10.2012) |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement (24.10.2017) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Schulungen für Mitarbeiter*innen, Aktualisierung der Expertenstandards
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.05.2016 |
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| 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) |
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF08 |
CIRS Emergency Medicine (Department of Anaesthesia, Intensive Care Medicine and Emergency Medicine, Kempten Hospital) |