Dealing with risks in patient care
Quality management
Barbara Kroiß
Qualitätsmanagementbeauftragte
Mozartstraße 14 a-16
80336 München
Phone:
089
-51409-180
Mail:
ed.demetra@ssiork.arabrab
Vierzehntägig findet ein Austausch zwischen QMB und Klinikleitung statt. Hierbei werden alle Fragen im Bereich Qualitätsmanagement erörtert. Arbeitsgruppen im ärztlich-pflegerischen Bereich.
Conference frequency: andere Frequenz
Risk management
Annette Klein
Fachärztin für Dermatochirurgie
Phone:
089
-51409-170
Fax: 089-51409-167
Mail:
ed.demetra@nielk.ettenna
Klinikleitung, leitende Ärzte, PDL, Bereichsleitungen Pflege und Funktion, Qualitätsmanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA_Umgang mit lebensbedrohlichen Situationen (Stand: 10/23), VA_CIRS (Stand: 02/20), Meldebogen CIRS (Stand: 02/20) (09.10.2023) |
| RM05 |
Pain management Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
| RM06 |
Fall prophylaxis Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA_Aufnahmekriterien zur Decubitusprophylaxe (10.11.2020) |
| RM08 |
Regulated handling of custodial measures Einwilligung zur Bettfixierung (13.02.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
| 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 Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
| RM18 |
Discharge management Verfahrensanweisung CIRS, Meldebogen CIRS (15.12.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.12.2022 |
| 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: