Dealing with risks in patient care
Quality management
Frau Sigrid Brauch-Huber
Qualitätsmanagementbeauftragte
Viernheimer Straße 2
64646 Heppenheim
Phone:
06252
-701662-
Mail:
ed.essartsgreb-hkk@rebuh-hcuarb.dirgis
Frau Dorothea Liesenberg
Qualitätsmanagementbeauftragte
Viernheimer Straße 2
64646 Heppenheim
Phone:
06252
-70192144-
Mail:
ed.essartsgreb-hkk@mq
Geschäftsführung, Leitende/r Ärztliche/r Direktor/in, Pflegedirektor/in
Conference frequency: halbjährlich
Risk management
Sigrid Brauch-Huber
Qualitätsmanagementbeauftragte
Viernheimer Straße 2
64646 Heppenheim
Phone:
06252
-701662-
Mail:
ed.essartsgreb-hkk@rebuh-hcuarb.dirgis
Dorothea Liesenberg
Qualitätsmanagementbeauftragte
Viernheimer Straße 2
64646 Heppenheim
Phone:
06252
-70192144-
Mail:
ed.essartsgreb-hkk@mq
Geschäftsführung, Leitende/r Ärztliche/r Direktor/in, Pflegedirektor/in
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementkonzept (KKB-ST-015) Risikomanagementkonzept (KKB-ST-014) (06.06.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung zum Medizinischen Notfallmanagement (KKH-VA-057) (09.05.2022) |
| RM05 |
Pain management Postoperatives Schmerzkonzept (KKH-ST-030) (04.05.2021) |
| RM06 |
Fall prophylaxis Individuelle Sturzrisikoeinschätzung (Klido-Bogen im KIS Medico) (09.03.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Prophylaxe - Dekubitus: Handlungsanweisung und Hintergrundwissen zur Prophylaxe, Therapie und Dokumentation von Dekubitalgeschwüren (KKH-HA-037) (13.06.2023) |
| RM08 |
Regulated handling of custodial measures Richtlinien für Freiheitsentziehende Maßnahmen (FeM) (KKH-LL-005) (01.06.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Störmeldung Medizintechnik gem. § 12 MPBetreibV, UKHD (21.06.2021) |
| 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 Team-Time Out (OP-CH-001) (26.05.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste präoperative Pflege (inkl. Covid-Testung) (KKB-CK-002) (05.07.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Einsatz von Patienten-Identifikationsarmbänder (KKH-HA-094) (29.06.2021) |
| RM17 |
Standards for recovery and postoperative care Postoperative Überwachung im Aufwachraum (ANA-SO-022) (21.10.2019) |
| RM18 |
Discharge management Prozessablauf Entlassmanagement (KKH-PB-020) (23.07.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Evaluation der Patientenidentifikation, Mindestvorhaltemenge von Unterdruck-Wundtherapie-Pumpen (KKB-ST-010), Wechsel von Lieferanten für Medizinprodukte, interne Kommunikation/Newsletter
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 16.12.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: