Dealing with risks in patient care
Quality management
Stefanie Gutzer
Leitung Stabsstelle Qualitätsmanagement, klinisches Risikomanagement und Lob- und Beschwerdemanagement
Schloßhaustraße 100
89522 Heidenheim
Phone:
07321
-33-2702
Mail:
ed.miehnedieh-nekinilk@reztug.einafets
Herr Rainer Falk
Leitung Stabsstelle Qualitätsmanagement, klinisches Risikomanagement und Lob- und Beschwerdemanagement
Schloßhaustraße 100
89522 Heidenheim
Phone:
07321
-33-2006
Mail:
ed.miehnedieh-nekinilk@klaf.reniar
Geschäftsleitung, Medizinische Klinik 1, Medizincontrolling, Qualitäts- und Risikomanagement, Pflegedienst, Betriebsrat, IT-Bereich, Apotheke,
Conference frequency: andere Frequenz
Risk management
Stefanie Gutzer
Leitung Stabsstelle Qualitätsmanagement, klinisches Risikomanagement und Lob- und Beschwerdemanagement
Phone:
07321
-33-2702
Fax: 07321-33-62702
Mail:
ed.miehnedieh-nekinilk@reztug.einafets
Rainer Falk
Leitung Stabsstelle Qualitätsmanagement, klinisches Risikomanagement und Lob- und Beschwerdemanagement
Phone:
07321
-33-2006
Fax: 07321-33-62702
Mail:
ed.miehnedieh-nekinilk@klaf.reniar
Geschäftsleitung, Medizinische Klinik 1, Medizincontrolling, Qualitäts- und Risikomanagement, Pflegedienst, Betriebsrat, IT-Bereich, Apotheke,
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement-Handbuch (15.10.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Risikomanagement-Handbuch (15.10.2023) |
| RM05 |
Pain management Pflegestandard Schmerzmanagement, Fachklinikspezifische Schmerzkonzepte (03.08.2017) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (20.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (24.09.2020) |
| RM08 |
Regulated handling of custodial measures Risikomanagement-Handbuch (15.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagement-Handbuch (15.10.2023) |
| 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 Präoperative Untersuchung (11.10.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Risikomanagement-Handbuch (15.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Risikomanagement-Handbuch (15.10.2023) |
| RM17 |
Standards for recovery and postoperative care Risikomanagement-Handbuch (15.10.2023) |
| RM18 |
Discharge management Risikomanagement-Handbuch (15.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
OP-Checkliste, Checkliste Aufklärungspflichtige Untersuchungen mit Team-Time-Out, Patientenidentifikationsbänder, Vier-Augen-Prinzip bei der Medikamentenstellung,
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.09.2023 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: andere Frequenz
| No. | Explanation |
|---|---|
| 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) |