Dealing with risks in patient care

Quality management

Herr Alexander Frank

Standortverantwortlicher Qualitätsmanager

Ketschendorfer Straße 33
96450 Coburg

Phone: 09561 -22-7430
Mail: ed.nekinilk-demoiger@knarf.rednaxela

Krankenhausdirektorin Ärztlicher Direktor Pflegedirektorin Verwaltungsleiter Qualitätsmanager Klinikum Coburg

Conference frequency: quartalsweise

Risk management

Alexander Frank

Standortverantwortlicher Qualitätsmanager


96450 Coburg

Phone: 09561 -22-7430
Mail: ed.nekinilk-demoiger@knarf.rednaxela

Krankenhausdirektorin Ärztlicher Direktor Pflegedirektorin Verwaltungsleiter Qualitätsmanager Klinikum Coburg

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Qualido Infoboard (28.11.2016)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Qualido Infoboard (28.11.2016)

RM05

Pain management

Qualido Infoboard (28.11.2016)

RM06

Fall prophylaxis

Qualido Infoboard (28.11.2016)

RM07

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

Qualido Infoboard (28.11.2016)

RM08

Regulated handling of custodial measures

Qualido Infoboard (28.11.2016)

RM09

Regulated handling of occurring malfunctions of devices

Qualido Infoboard (28.11.2016)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • 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

Qualido Infoboard (28.11.2016)

RM15

Preoperative, complete presentation of necessary findings

Qualido Infoboard (28.11.2016)

RM16

Procedure to avoid procedural and patient mix-ups

Qualido Infoboard (28.11.2016)

RM17

Standards for recovery and postoperative care

Qualido Infoboard (28.11.2016)

RM18

Discharge management

Qualido Infoboard (28.11.2016)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

- Einsatz einer OP-Checkliste - mfd Eingriffsverwechslungen - Patientenidentifikationsarmband - Sturzrisikoeinschätzung - VA Expertenstandard Sturz - Prae-, intra- und postoperative Zählkontrollen bei chirurgischen Eingriffen

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 22.05.2014

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: bei Bedarf

No. Explanation

Other

EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)