Dealing with risks in patient care
Quality management
QMB Sitzungen, QMB Abteilung OP und Anästhesie, QMB Abteilung Pflege, QMB Abteilung Brustzentrum, QMB Haustechnik, QMB Abteilung Qualitätsmanagement, QMB Gesundheitsmanagement, QMB Hygienemanagement, QMB Aufnahmemanagement
Conference frequency: monatlich
Risk management
QMB Sitzungen, QMB Abteilung OP und Anästhesie, QMB Abteilung Pflege, QMB Abteilung Brustzentrum, QMB Haustechnik, QMB Abteilung Qualitätsmanagement, QMB Gesundheitsmanagement, QMB Hygienemanagement, QMB Aufnahmemanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2023) |
| RM02 |
Regular further education and training measures |
| RM05 |
Pain management Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2023) |
| RM06 |
Fall prophylaxis Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Arbeitsanweisung Meldung Vorkommnisse bei Medizinprodukten (31.12.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss Intranetbasiertes Qualitätsmanagement-Handbuch (30.12.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2023) |
| RM17 |
Standards for recovery and postoperative care Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2023) |
| RM18 |
Discharge management Intranetbasiertes Qualitätsmanagement-Handbuch (31.12.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Fehlermeldungen und das Anlegen eines CIRS im klinikinternen CMS.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2023 |
| 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: