Dealing with risks in patient care

Quality management

Dr. Jörg Schwegler

QMB

Karl-von-Hahn-Straße 120
72250 Freudenstadt

Phone: 07441 -54-6701
Mail: ed.ten-flk@relgewhcs.greoj

Stabsstelle QM bei der Geschäftsführung

Conference frequency: jährlich

Risk management

Jörg Schwegler

QMB


72233 Freudenstadt

Phone: 07441 -54-6701
Mail: ed.ten-flk@relgewhcs.greoj

Stabsstelle QM bei der Geschäftsführung

Conference frequency: jährlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Handbuch (BITqms) (23.12.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Handbuch (BITqms) (23.12.2022)

RM05

Pain management

Handbuch (BITqms) (23.12.2022)

RM06

Fall prophylaxis

Handbuch (BITqms) (23.12.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Handbuch (BITqms) (23.12.2022)

RM08

Regulated handling of custodial measures

Handbuch (BITqms) (23.12.2022)

RM09

Regulated handling of occurring malfunctions of devices

Handbuch (BITqms) (23.12.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätszirkel
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

Handbuch (BITqms) (23.12.2022)

RM15

Preoperative, complete presentation of necessary findings

Handbuch (BITqms) (23.12.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Handbuch (BITqms) (23.12.2022)

RM17

Standards for recovery and postoperative care

Handbuch (BITqms) (23.12.2022)

RM18

Discharge management

Handbuch (BITqms) (23.12.2022)

Fault reporting systems

Conference committee

Conference frequency:

Measures

Durch CIRS-Meldungen wurde Schulungsbedarf erkannt. Beispiele hierfür sind Schulung zum Umgang mit Sauerstoff-Brillen und Informationen zur Vermeidung von Probenverwechslungen.

No. Explanation
IF02

Internal evaluation of the received reports

taken bei Bedarf

Conference committee

Conference frequency:

No. Explanation
EF02

CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors)