Dealing with risks in patient care
Quality management
Sabine Hirsch
QMB (ab 01.05.2022)
Krankenhausstraße 1
91275 Auerbach/OPf.
Phone:
09661
-52094-473
Mail:
ed.sa-hk@mq
stv. Vorstand Ärztlicher Direktor Personalleitung Pflegedirektion QMB
Conference frequency: quartalsweise
Risk management
stv. Vorstand Ärztlicher Direktor Personalleitung Pflegedirektion QMB
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Nexus Curator, fortlaufende Aktualisierung Führung aller QM-Dokumente, Beschwerden, CIRS und Risikotool (07.08.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management der Verfahrensanweisung: Medizinisches Notfallmanagement Rahmenbedingungen/Strukturelle Voraussetzungen (29.11.2022) |
| RM05 |
Pain management (13.06.2024) |
| RM06 |
Fall prophylaxis der Arbeitsanweisung: Sturzprophylaxe (31.05.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) des Pflegestandards: Dekubitusprophylaxe (03.03.2022) |
| RM08 |
Regulated handling of custodial measures der Verfahrensanweisung: Fixierung (08.04.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Störungsmeldungen über Online-Meldesystem (20.04.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups der Dienstanweisung: DA zur verpflichtenden Durchführung eines Team-Time-Outs im OP-Bereich (21.07.2023) |
| RM17 |
Standards for recovery and postoperative care der Arbeitsanweisung: Tätigkeiten im Aufwachraum (22.08.2023) |
| RM18 |
Discharge management der Verfahrensanweisung: Entlassmanagement (25.02.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Online-Meldesystem
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 27.04.2023 |
| 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: