Universitätsklinikum Gießen und Marburg, Standort Gießen
Dealing with risks in patient care
Quality management
PD Dr. med. Immo Schroeder-Printzen
Zentrales Qualitätsmanagement
Rudolf-Buchheim-Straße 8
35392 Gießen
Phone: 0641-985-60
Mail: ed.mg-ku@neztnirp-redeorhcs.ommi
AGF ÄD PD
Conference frequency: bei Bedarf
Risk management
Kaufmännische Geschäftsführung
Christiane Hinck-Kneip
Rudolf-Buchheim-Straße 8
35392 Gießen
Phone: 0641-985-60
Fax: 0641-985-40109
Mail: ed.mg-ku@ig.fgk
Ombudsfrau, Ärtzlicher Direktor, Kaufmannische Geschäftsleitung, Pflegedirektor, GB Technik, Rechtsabteilung, Qualitätsmanagement sowie weitere Geschäftsbereiche je nach Fragestellung. Betrifft nur CIRS
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available R2C System standortübergreifend für das kaufmännische RM (06.10.2015) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Notfallmanagement (15.10.2015) |
| RM05 |
Pain management SOP Schmerzmanagement in der Anästhesie (15.09.2014) |
| RM06 |
Fall prophylaxis Sturzskala (14.10.2003) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Planungs- und Handlungsleitlinien (15.06.2001) |
| RM08 |
Regulated handling of custodial measures VA Freiheitsentziehende Maßnahmen (01.06.2006) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Betrieb Medizintechnischer Geräte (02.02.2015) |
| 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 WHO CHeckliste (20.04.2017) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO Checkliste (20.04.2017) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Patientenarmbänder (01.02.2012) |
| RM17 |
Standards for recovery and postoperative care SOP Weaning Protokoll (11.02.2010) |
| RM18 |
Discharge management VA Entlassmanagement (01.09.2004) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Siehe unte A-12.2.3.1 Instrumente und Maßnahmen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.02.2016 |
| 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 jährlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |