Dealing with risks in patient care
Quality management
Dipl. Betriebsw. Julia Heubel
Leitung Qualitätsmanagement KJF Klinik Josefinum
Stoffelsberg 10
86720 Nördlingen
Phone:
0821
-2412-585
Mail:
ed.munifesoj@mq
Klinikleitung, Ärztlicher Direktor, Verwaltungsdirektor, Pflegedirektor, Chefarzt, Standortleitung, Qualitätsmanagement
Conference frequency: quartalsweise
Risk management
Julia Heubel
Leitung Qualitätsmanagement KJF Klinik Josefinum
Stoffelsberg 10
86720 Nördlingen
Phone:
0821
-2412-585
Mail:
ed.munifesoj@mq
Klinikleitung, Ärztlicher Direktor, Verwaltungsdirektor, Pflegedirektor, Chefarzt, Standortleitung, Qualitätsmanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available JOS_VA_Risikoüberwachung (ID 015549) (25.09.2025) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management JOS_VA_Notfall (ID 020657) (30.09.2025) |
| RM05 |
Pain management z. B. Schmerzmanagement in der KJPP nach dem Exptertenstandard des DNQP (2020) (ID 026954) (04.08.2025) |
| RM06 |
Fall prophylaxis JOS_VA_Sturzmanagement; Sturzprophylaxe nach dem Expertenstandard des DNQP (2020) (ID 027181) (31.12.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) z.B. Dekubitusprophylaxe und -pflege nach dem Expertenstandard des DNQP (2017) (ID 018151) (04.08.2025) |
| RM08 |
Regulated handling of custodial measures KJPP_VA_Fixierungen (ID 018718) (24.06.2025) |
| RM09 |
Regulated handling of occurring malfunctions of devices JOS_VA_defektes Medizinprodukt (ID 019560) (26.08.2025) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management JOS_VA_Entlassmanagement (ID 020937) (03.12.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
z.B. Anonymisierte Veröffentlichung von unterwünschten Ereignissen im Mitarbeiterportal, Implementierung des gesetzlichen Entlassmanagements, strukturiertes Risikomanagement mit jährlicher Evaluation klinikbezogener Risiken
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.10.2024 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |