Dealing with risks in patient care
Quality management
Patricia Plattner
Leiterin integrierte Managementsysteme
Krankenhausstraße 32
94474 Vilshofen an der Donau
Phone:
08541
-206760-
Mail:
ed.uassap-eg@ofni
GeschäftsführungÄrztlicher LeiterVerwaltungsleiterPflegedienstleiterLeiter integrierte ManagementsystemeLeiter externe Kommunikation
Conference frequency: wöchentlich
Risk management
Patricia Plattner
Leiterin integrierte Managementsysteme
Krankenhausstraße 32
94474 Vilshofen
Phone:
08541
-206760-
Mail:
ed.uassap-eg@ofni
GeschäftsführungÄrztlicher LeiterVerwaltungsleiterPflegedienstleiterLeiter integrierte ManagementsystemeLeiter externe Kommunikation
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement 2023 QM Handbuch (07.08.2025) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement (17.07.2025) |
| RM05 |
Pain management SOP Schmerzstandard (02.04.2024) |
| RM06 |
Fall prophylaxis Sturzprävention Prozess (03.04.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitus-Prävention Prozess (05.12.2023) |
| RM08 |
Regulated handling of custodial measures Standard Fixierung (29.01.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Aufgaben und Pflichten des Anwenders (23.10.2024) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss WHO-OP-Checkliste (29.11.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO-OP-Checkliste (29.11.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups WHO-OP-Checkliste (29.11.2024) |
| RM17 |
Standards for recovery and postoperative care Standard Aufwachraum (07.06.2021) |
| RM18 |
Discharge management Entlassung (30.08.2024) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Überarbeitung der Behandlungspfade, CIRS, Risk-Kernteam Sitzung, Meldewesen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 19.02.2025 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
|
Other |