Dealing with risks in patient care
Quality management
Herr Dirk Tedeschi
Leitung Qualitätsmanagement
Kiskerstr. 26
33615 Bielefeld
Phone:
0521
-589-9010
Mail:
ed.dlefeleib-ohk@ihcsedet.krid
Geschäftsführung, Qualitätsmanagement, Personalabteilung, Kaufmännische Leitung Zu spezifischen Themen werden weitere Personen gezielt eingeladen.
Conference frequency: quartalsweise
Risk management
Dirk Tedeschi
Leitung Qualitätsmanagement
Kiskerstrasse 26 26
33615 Bielefeld
Phone:
0521
-589-9010
Fax: 0521-589-9004
Mail:
ed.dlefeleib-ohk@ihcsedet.krid
Geschäftsführung, Qualitätsmanagement, Ärztliche Direktoren, Pflegedienstleitung, Kaufmännische Leitung
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM05 |
Pain management Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM06 |
Fall prophylaxis Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM08 |
Regulated handling of custodial measures Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| 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 Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM17 |
Standards for recovery and postoperative care Name: Open-cms, webbasiertes Intranet (04.10.2023) |
| RM18 |
Discharge management Name: Open-cms, webbasiertes Intranet (04.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einführung der elektronischen Patientenakte
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.06.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association) |