Dealing with risks in patient care

Quality management

Katrin Schick

Study Nurse

Krankenhausstraße 30
78628 Rottweil

Phone: 0741 -476-5220
Mail: eded.tiehdnuseg-soileh@kcihcS.nirtaK

Brust- und Darmzentrum

Conference frequency: andere Frequenz

Risk management

Katrin Schick

Verantwortliche Risikomanagement

Phone: 0741 -476-2763
Fax: 0741-4760-5220
Mail: ed.tiehdnuseg-soileh@kcihcS.nirtaK

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

xx (04.01.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM05

Pain management

Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen - https://md-bund.de/themen/pflegequalitaet/expertenstandards-in-der-pflege.html (01.06.2022)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe des Deutsches Netzwerk für Qualitätsentwicklung in der Pflege - https://www.dnqp.de/fileadmin/HSOS/Homepages/DNQP/Dateien/Expertenstandards/Sturzprophylaxe_in_der_Pflege/Sturz_2Akt_Auszug.pdf (01.08.2022)

RM07

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

Beschluss der FG Pflege Dekubitusprophylaxe - https://www.dnqp.de/expertenstandards-und-auditinstrumente/ (01.06.2017)

RM08

Regulated handling of custodial measures

Konzernregelung und Checkliste Freiheitsentziehende Maßnahmen (12.03.2024)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensstandard Umgang mit Produktproblemen (01.06.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
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

Konzernregelung OP-Sicherheit (27.01.2022)

RM15

Preoperative, complete presentation of necessary findings

Konzernregelung OP-Sicherheit (27.01.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Konzernregelung OP-Sicherheit (27.01.2022)

RM17

Standards for recovery and postoperative care

Fachgruppenbeschluss zur Erhebung des Early Warning Scores bei Verlegung aus dem Aufwachraum (10.03.2023)

RM18

Discharge management

Entlassungsmanagement (04.01.2023)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Es wurden dieverse Projekte umgesetzt

No. Explanation
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 jährlich

Conference committee

Conference frequency: quartalsweise

No. Explanation

Other