Dealing with risks in patient care
Quality management
Simone R. Wagner
Abteilungsleiterin Qualitäts- und Risikomanagement
Krumenauerstraße 25
85049 Ingolstadt
Phone:
0841
-880-0
Mail:
ed.tdatslogni-mukinilk@rengaw.enomis
Abteilung Qualitäts- und Risikomanagement. Darüber hinaus Besprechungen mit Kliniken, Zentren, Stationen und Abteilungen. Des Weiteren vierteljährlich interdisziplinäre Qualitätszirkel.
Conference frequency: andere Frequenz
Risk management
Simone R. Wagner
Abteilungsleiterin Qualitäts- und Risikomanagement
Krumenauerstraße 25
85049 Ingolstadt
Phone:
0841
-880-0
Mail:
ed.tdatslogni-mukinilk@rengaw.enomis
Geschäftsführung, Pflegedirektion, Leitung Qualitätsmanagements- und Risikomanagement, ausgebildete Risikomanager, Fachexperten
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available KO-Klinische Risikomanagementpolitik (27.03.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management PB-ZOP Notfallmanagement (12.06.2024) |
| RM05 |
Pain management INF-MU Schmerzschema (09.05.2022) |
| RM06 |
Fall prophylaxis PB Sturzmanagement (25.07.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) SOP-Dekubitusprophylaxe in der Pflege (25.07.2024) |
| RM08 |
Regulated handling of custodial measures SOP-PP Pflegeleitlinie: Fixierung (30.07.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA-medizintechnische Geräte (04.10.2024) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings FO-OP Patientensicherheit (21.09.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA-Patientenarmband (03.03.2023) |
| RM18 |
Discharge management Entlassmanagement-Prozess-Standard für das Klinikum Ingolstadt (28.05.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
CIRS-Meldungen werden bearbeitet und bei Bedarf Maßnahmen umgesetzt. Die Koordination und Umsetzung der Maßnahmen erfolgte durch ein interdisziplinäres Team.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 16.07.2024 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| 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: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |