Dealing with risks in patient care

Quality management

Dipl. Kfm. Thorsten Mägdefrau

Geschäftsführer

Aarstraße 17
56368 Katzenelnbogen

Phone: 06486 -9127-1024
Mail: ed.negobnleneztak-kinilkhcaf@uarfedgeam.t

Geschäftsführung OberärztinStationsleitung QM

Conference frequency: bei Bedarf

Risk management

Thorsten Mägdefrau

Geschäftsführer


56366 Katzenelnbogen

Phone: 06486 -9127-1024
Fax: 06486-9127-1099
Mail: ed.negobnleneztak-kinilkhcaf@uarfedgeam.t

Geschäftsführer OberarztPflegedienstleitung QM

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

Formularschrank (31.12.2018)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Formularschrank (31.12.2018)

RM06

Fall prophylaxis

Formularschrank (31.12.2018)

RM07

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

Formularschrank (31.12.2018)

RM08

Regulated handling of custodial measures

Formularschrank (31.12.2018)

RM09

Regulated handling of occurring malfunctions of devices

Formularschrank (31.12.2018)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Fallbesprechungen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Formularschrank (31.12.2018)

RM18

Discharge management

Formularschrank (31.12.2018)

Fault reporting systems

Conference committee

Conference frequency: halbjährlich

Measures

Bsp. Veränderung der Behandlungsvereinbarung bzgl. der Ausgangszeiten

No. Explanation
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)