Dealing with risks in patient care
Quality management
Franziska Exner
Abteilungsleiterin Stabsstelle für Qualitäts- und Risikomanagement
Prof.-Küntscher-Straße 8
82418 Murnau
Phone:
08841
-48-2254
Mail:
ed.uanrum-ugb@MQ
Krankenhausleitung, Stabsstelle Qualitäts- und Risikomanagement
Conference frequency: andere Frequenz
Risk management
Franziska Exner
Abteilungsleiterin Stabsstelle für Qualitäts- und Risikomanagement
Phone:
08841
-48-2254
Mail:
ed.uanrum-ugb@MQ
Krankenhausleitung, Stabsstelle Qualitäts- und Risikomanagement
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM05 |
Pain management BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM06 |
Fall prophylaxis BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM08 |
Regulated handling of custodial measures BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| 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 BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM17 |
Standards for recovery and postoperative care BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
| RM18 |
Discharge management BUKM Checkliste klin_RM_und_Patientensicherheit_Bewertung 2023_final (08.08.2023) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Fallbezogene Besprechungen und Schulungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 16.05.2024 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: andere Frequenz
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |