Dealing with risks in patient care

Quality management

Marcell Burger

Qualitäts- und Prozessmanagement

Friedrich-Husemann-Weg 8
79256 Buchenbach

Phone: 07661 -392-134
Mail: ed.kinilk-nnamesuh-hcirdeirf@regrub

Klinikleitung und QM

Conference frequency: halbjährlich

Risk management

Marcell Burger

Qualitäts- und Prozessmanagement

Friedrich-Husemann-Weg 8
79256 Buchenbach

Phone: 07661 -392-134
Fax: 07661-392-142
Mail: ed.kinilk-nnamesuh-hcirdeirf@regrub

Klinikleitung und QM

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Dokumentation (11.09.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Medizinisches Notfallkonzept (04.11.2022)

RM06

Fall prophylaxis

Standard Sturzprophylaxe (11.11.2020)

RM07

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

Standard Dekubitusprophylaxe (09.11.2021)

RM08

Regulated handling of custodial measures

Zwangsmaßnahmen (10.02.2023)

RM09

Regulated handling of occurring malfunctions of devices

Vorkommnis-Meldungen und Rückrufe von Medizinprodukten (26.11.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Supervisionen
RM12

Use of standardised information sheets

RM18

Discharge management

Prozesszuständigkeiten und -ablauf im Entlassmanagement (14.02.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

regelhafte Teilnahme der Therapeut*innen an den Schulungen zu den lebensrettenden Sofortmaßnahmen

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 08.09.2023

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: 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)