Dealing with risks in patient care

Quality management

Petra Schäfer

Leiterin Stabsstelle Qualitätsmanagement

Bodelschwinghstraße 10/2
68723 Schwetzingen

Phone: 06222 -55-2029
Mail: ed.hcolseiw-nzp@refeahcs.artep

Koordinationsgruppe Qualitätsmanagement: alle Kliniken, Ambulanzzentrum, Wohnheim, Stabsstelle Medizindirektion, Personalrat und Verwaltung

Conference frequency: monatlich

Risk management

Olivier Elmer

Organisationsentwickler/ klinischer Risikomanager

Bodelschwinghstraße 10/2
68723 Schwetzingen

Phone: 06222 -55-2266
Fax: 06222-55-2484
Mail: ed.hcolseiw-nzp@remle.reivilo

Koordinationsgruppe Qualitätsmanagement: alle Kliniken, Ambulanzzentrum, Wohnheim, Stabsstelle Medizindirektion, Personalrat und Verwaltung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Risikohandbuch ZfP BW (01.10.2019)

RM04

Clinical emergency management

Konzept und elektronisches Handbuch" Medizinisches Notfallmanagement" (23.10.2020)

RM06

Fall prophylaxis

Standard Nr. 4 Sturzprophylaxe (01.07.2021)

RM07

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

Standard Nr. 12 Dekubitusprophylaxe (05.11.2020)

RM08

Regulated handling of custodial measures

Organisationsanweisung "Freiheitsentziehende bes. Sicherungsmaßnahmen" (12.06.2020)

RM09

Regulated handling of occurring malfunctions of devices

OA Medizintechnik (24.09.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Multiprofessionelle Besprechungen sind Bestandteil der alltäglichen Arbeit
RM12

Use of standardised information sheets

RM18

Discharge management

Standard Nr. 7 Multiprofessionelles Entlassmanagement (23.12.2021)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Alle Meldungen und abgeleitete Maßnahmen sind in einer CIRS Software dokumentiert

No. Explanation
IF01

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

As of: 12.06.2020

IF02

Internal evaluation of the received reports

taken jährlich

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: quartalsweise

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)