Dealing with risks in patient care

Quality management

Jürgen Holub

Qualitätskoordinator

Kösinger Straße 11
73450 Neresheim

Phone: 07326 -9608-0
Mail: ed.hrs@buloh.negreuj

Krankenhausleitungskonferenz: Geschäftsführung, Ärztlicher Direktorin, Chefarzt, Verwaltungsleitung, Pflegedienstleitung, QM-Koordinator.

Conference frequency: monatlich

Risk management

Jürgen Holub

Qualitätskoordinator

Phone: 07326 -9608-0
Fax: 07326-9608-115
Mail: ed.hrs@buloh.negreuj

Krankenhausleitungskonferenz: Geschäftsführung, Ärztlicher Direktorin, Chefarzt, Verwaltungsleitung, Pflegedienstleitung, QM-Koordinator.

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Prozessmodell FKNe (17.04.2024)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Prozessmodell FKNe (17.04.2024)

RM05

Pain management

Klinikkonzept SRH Fachkrankenhaus Neresheim (04.04.2019)

RM06

Fall prophylaxis

Prozessmodell FKNe (17.04.2024)

RM07

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

Prozessmodell FKNe (17.04.2024)

RM08

Regulated handling of custodial measures

Prozessmodell FKNe (17.04.2024)

RM09

Regulated handling of occurring malfunctions of devices

Prozessmodell FKNe (17.04.2024)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
  • interdisziplinäre Rehabilitationsbesprechungen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Prozessmodell FKNe (17.04.2024)

RM18

Discharge management

Prozessmodell FKNe (17.04.2024)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Wöchentliche Überprüfung der Herzalarmanlage auf den Stationen. Jährliche Auswertung der Sturzrate und Art des Sturzes durch den Arzt. Einsatz von sog. Klingelmatten bei bestimmten Patientenklientel.

No. Explanation
IF01

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

As of: 31.03.2023

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 jährlich

Conference committee

Conference frequency: monatlich

No. Explanation
EF03

KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)