Dealing with risks in patient care

Quality management

Michael Kappl

Qualitätsmanagement und Prozessgestaltung

Perlasberger Str. 41
94469 Deggendorf

Phone: 0991 -380-1293
Mail: ed.mukinilk-rasi-uanod@lppak.leahcim

Jour Fixe mit dem Vorstand & QM-Netzwerk

Conference frequency: monatlich

Risk management

Michael Welsch

Risikomanagement

Perlasberger Str. 41
94469 Deggendorf

Phone: 0991 -380-3406
Mail: ed.mukinilk-rasi-uanod@hcslew.leahcim

Alle Bereiche sind vertreten.

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

R Organisation des Risikomanagements gKU (22.02.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

DA Organisation Medizinisches Notfallmanagement gKU (16.03.2022)

RM05

Pain management

Berufsübergreifenden Leitlinie Schmerzmanagement (06.12.2014)

RM06

Fall prophylaxis

MA zum Expertenstandard Sturzprophylaxe gKU (05.08.2022)

RM07

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

MA zum Expertenstandard Dekubitusprophylaxe (05.12.2022)

RM08

Regulated handling of custodial measures

R zur Fixierung gKU (04.10.2022)

RM09

Regulated handling of occurring malfunctions of devices

DA Medizinprodukte Betreiber Verordnung (MPBetreibV) gKU (25.10.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
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

DA Organisation OP Management (01.06.2023)

RM15

Preoperative, complete presentation of necessary findings

DA Organisation OP Managament gKU (01.06.2023)

RM16

Procedure to avoid procedural and patient mix-ups

PB Organisation der Patientenidentifikation gKU (04.08.2022)

RM17

Standards for recovery and postoperative care

PB postoperative Überwachung von Wöchnerinnen (22.12.2022)

RM18

Discharge management

PB Entlassmanagement gKU (01.03.2023)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

61 abgeschlossene Maßnahmen aus 120 Meldungen

No. Explanation
IF01

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

As of: 30.01.2023

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 quartalsweise

Conference committee

Conference frequency: andere Frequenz

No. Explanation
EF14

CIRS Health Care