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 (22.09.2025) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Prozessmodell FKNe (22.09.2025) |
| RM05 |
Pain management Prozessmodell FKNe (22.09.2025) |
| RM06 |
Fall prophylaxis Prozessmodell FKNe (22.09.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Prozessmodell FKNe (22.09.2025) |
| RM08 |
Regulated handling of custodial measures Prozessmodell FKNe (22.09.2025) |
| RM09 |
Regulated handling of occurring malfunctions of devices Prozessmodell FKNe (22.09.2025) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Prozessmodell FKNe (22.09.2025) |
| RM18 |
Discharge management Prozessmodell FKNe (22.09.2025) |
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 bestimmtem Patientenklientel. Wöchentliche konzeptübergreifende Praxisbegleitungen auf Station.
| 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) |