Dealing with risks in patient care
Quality management
Nicole Schmitz
Leitung Qualitätsmanagement
Albert-Schweitzer-Str. 10-20
64711 Erbach im Odenwald
Phone:
06062
-79-3310
Mail:
ed.wdo-zg@ztimhcS.elociN
Nicole Schmitz
Leitung Qualitätsmanagement
Albert-Schweitzer-Str. 10-20
64711 Erbach im Odenwald
Phone:
06062
-79-3310
Mail:
ed.wdo-zg@ztimhcS.elociN
Geschäftsleitung, Steuergruppe Qualitätsmanagement
Conference frequency: monatlich
Risk management
Mathias Bojahr
Patientensicherheitsbeauftragter, Beauftragter QM und RM
Albert-Schweitzer-Str. 10 - 20
64711 Erbach
Phone:
06062
-79-7920
Fax: 06062-79-2001
Mail:
ed.wdo-zg@rhajoB.saihtaM
Geschäftssleitung, Klinikleiterkonferenz und Arbeitsgruppe Risikomanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch der Organisation (31.12.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Krankenhauseinsatzplan (31.12.2022) |
| RM05 |
Pain management Verfahrensanweisung Schmerzmanagement (19.05.2022) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Sturzprophylaxe (13.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung Dekubitusprophylaxe (06.07.2022) |
| RM08 |
Regulated handling of custodial measures Umgang freiheitsentziehende Maßnahmen (03.05.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (31.12.2022) |
| 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 OP-Sicherheits-Checkliste (24.07.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheits-Checkliste (24.07.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Sicherheits-Checkliste (24.07.2022) |
| RM18 |
Discharge management Leitfaden Entlassungsmanagement/Sozialdienst (31.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Auswertung durch QRM und Gremium
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.02.2022 |
| 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 jährlich |
Conference committee
Conference frequency: andere Frequenz
| 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) |
| EF10 |
CIRS of the German Society of Surgery (DGCH) |