Dealing with risks in patient care

Quality management

Alma Kraus

Leitung Qualitätsmanagement

Im Haberschlai 7
70794 Filderstadt

Phone: 0711 -7703-4272
Mail: ed.kinilkredlif@suark.a

Geschäftsführung Stabstelle QM

Conference frequency: monatlich

Risk management

Stefan Hiller

Ärztlicher Direktor

Phone: 0711 -7703-0
Fax: 0711-7703-484
Mail: ed.kinilkredlif@ofni

Ärztlicher Direktor Geschäftsführer Pflegedienstleitung Betriebswirtschaftliche Leitung QMB

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM05

Pain management

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM06

Fall prophylaxis

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM08

Regulated handling of custodial measures

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM09

Regulated handling of occurring malfunctions of devices

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätszirkel
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

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM15

Preoperative, complete presentation of necessary findings

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM17

Standards for recovery and postoperative care

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

RM18

Discharge management

Regelungen zum QM/RM im Intranet verfügbar (29.04.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 29.04.2022

IF02

Internal evaluation of the received reports

taken monatlich

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: monatlich

No. Explanation
EF01

CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors)