Dealing with risks in patient care
Quality management
Herr Wolfram Schmidt
QMB
Quadrat J5 1
68159 Mannheim
Phone:
0621
-1703-1128
Mail:
ed.miehnnam-iz@tdimhcs.marflow
QM-Vorstandsgremium (halbjährlich): -Direktor und Vorstandsvorsitzender -kaufm. Vorstand -QMB
Conference frequency: halbjährlich
Risk management
Ärztl. Direktoren Pflegedirektion Klinikärzte Arbeitssicherheit Ergoth. Physioth. Sozialarbeit Forschung Recht Betriebsorga. Finanzmanagement Qualitätsmanagement Öffentlichkeitsarbeit IT Bau und Technik Pers.-Management Pers.-Entwicklung Med.-Controlling Unternehmensentwicklung
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikobericht (04.10.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Risikobericht (04.10.2022) |
| RM05 |
Pain management Pflegestandard Schmerzmanagement (07.04.2021) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (28.03.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (06.09.2022) |
| RM08 |
Regulated handling of custodial measures Konzept Psychiatrischer Notfall + Pflegestandard Fixierung SAFE (06.09.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch Medizinprodukte - Betreibung und Anwendung (14.08.2019) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
z.B. Optimierung der Sturz- und Dekubitusprophylaxe, der Akutmaßnahmen im psychiatrischen Notfall und der Medikamentensicherheit
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.04.2021 |
| 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 monatlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |