Dealing with risks in patient care
Quality management
Nina Breyer
Leitung Qualitätsmanagement (seit 01.10.2023)
Mainaustraße 35
78464 Konstanz
Phone:
07531
-801-2270
Mail:
ed.nklg@reyerb.anin
Geschäftsführung, Kaufmännische Direktion, Direktion Medizin und Pflege, Pflegedirektion, Ärztliche Direktion, QM, Verbundbetriebsrat, Leitungen der Bereiche Technik/Bau, Krankenhaushygiene, Medizinisches Controlling, Servicegesellschaft
Conference frequency: quartalsweise
Risk management
Nina Breyer
Leitung Qualitätsmanagement (seit 01.10.2023)
Mainaustraße 35
78464 Konstanz
Phone:
07531
-801-2270
Mail:
ed.nklg@reyerb.anin
Geschäftsführung, Kaufmännische Direktion, Direktion Medizin und Pflege, Pflegedirektion, Ärztliche Direktion, QM, Verbundbetriebsrat, Leitungen der Bereiche Technik/Bau, Krankenhaushygiene, Medizinisches Controlling, Servicegesellschaft
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available GLKN-QMH (18.04.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management GLKN-QMH (13.08.2024) |
| RM05 |
Pain management GLKN-QMH (24.01.2024) |
| RM06 |
Fall prophylaxis GLKN-QMH (10.12.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) GLKN-QMH (10.12.2020) |
| RM08 |
Regulated handling of custodial measures GLKN-QMH (03.02.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices GLKN-QMH (03.02.2021) |
| 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 GLKN-QMH (24.05.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings GLKN-QMH (10.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups GLKN-QMH (10.01.2023) |
| RM17 |
Standards for recovery and postoperative care GLKN-QMH (24.05.2022) |
| RM18 |
Discharge management GLKN-QMH (07.08.2024) |
Fault reporting systems
Conference committee
Conference frequency:
Measures
| No. | Explanation |
|---|
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF15 |
PaSIS (Patient Safety and Information System of the University Hospital Tübingen) |