Dealing with risks in patient care
Quality management
Robert Schindlbeck
Geschäftsführer
Seestraße 43
82211 Herrsching
Phone:
08152
-29-212
Mail:
ed.kcebldnihcs-kinilk@ofni
Geschäftsführung, Chefärzte, Personalleitung, Pflegedienstleitung und QMB
Conference frequency: monatlich
Risk management
Robert Schindlbeck
Geschäftsführer
Seestraße 43
82211 Herrsching am Ammersee
Phone:
08152
-29-212
Mail:
ed.kcebldnihcs-kinilk@ofni
Geschäftsführung, Chefärzte, Personalleitung, Pflegedienstleitung und QMB
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available P Risikomanagement, KTQ-Zertifizierung im Jahr 2022: aktuelles Zertifikat gilt vom 04.11.2022 bis 03.11.2025 (04.11.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management P Notfallversorgung klinikintern (08.09.2021) |
| RM05 |
Pain management P Schmerzmanagement nationaler pflegerischer Expertenstandard (11.11.2021) |
| RM06 |
Fall prophylaxis P Prävention von Stürzen, Umgang mit Sturzereignissen (25.08.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) P Dekubitusprävention (24.08.2018) |
| RM08 |
Regulated handling of custodial measures P Durchführung freiheitsentziehender Maßnahmen (23.05.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices P Lenkung fehlerhafter Produkte (17.06.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings CL Prüfung eines Patienten vor Eingriffen und OP (25.08.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups CL Prüfung eines Patienten vor Eingriffen und OP (25.08.2021) |
| RM17 |
Standards for recovery and postoperative care CL Nachsorge nach Endo (20.09.2018) |
| RM18 |
Discharge management P Entlassung (03.08.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Strukturierte Einweisung externe Mitarbeiter (Zeitarbeit) in der Krankenpfleg e
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 19.10.2021 |
| 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 jährlich |
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) |