Dealing with risks in patient care

Quality management

Christine Asel-Helmer

Qualitätsbeauftragte

Putzbrunner Str. 9
81737 München

Phone: 089 -450285-0
Mail: ed.kinilkdemrats@mq

Anke Schöps

Qualitätsbeauftragte

Putzbrunner Str. 9
81737 München

Phone: 089 -450285-0
Mail: ed.sota@kms-gnutlawrev

OP, Pflege, Anästhesie, Physiotherapie, Verwaltung, KL, QM

Conference frequency: quartalsweise

Risk management

Christine Asel-Helmer

Qualitätsbeauftragte

Putzbrunner Str. 9
81737 München

Phone: 089 -450285-0
Fax: 089-450285-111
Mail: ed.kinilkdemrats@mq

Margit Kriegel

Zentrales Qualitätsmanagement

Putzbrunner Str. 9
81737 München

Phone: 089 -450285-0
Fax: 089-450285-111
Mail: ed.sota@kms-gnutlawrev

OP, Pflege, Anästhesie, Physiotherapie, Verwaltung, KL, QM

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Qualitäts-, Arbeitsschutz- und Risikopolitik; interne Audits (27.01.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Umgang mit medizinischem Notfall (14.05.2022)

RM05

Pain management

Schmerztherapie (13.06.2023)

RM06

Fall prophylaxis

Sturzprophylaxe (09.02.2021)

RM07

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

Dekubitusprophylaxe (13.08.2021)

RM08

Regulated handling of custodial measures

Verfahrensanweisung Umgang mit FEM (01.05.2022)

RM09

Regulated handling of occurring malfunctions of devices

Umgang mit Medizinprodukten (13.05.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Mortalitäts- und Morbiditätskonferenzen
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

OP Checkliste (22.09.2022)

RM15

Preoperative, complete presentation of necessary findings

OP Checkliste (22.09.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Verfahrensanweisung OP Checkliste (13.06.2022)

RM17

Standards for recovery and postoperative care

Versorgung von Patienten im Aufwachraum (01.06.2022)

RM18

Discharge management

Entlassmanagement (19.07.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Patientenarmband, Optimierung der Anästhesieprotokolle, OP Checkliste, Team Time-Out

No. Explanation
IF02

Internal evaluation of the received reports

taken bei Bedarf

Conference committee

Conference frequency: bei Bedarf

No. Explanation

Other