Dealing with risks in patient care
Quality management
Dr. med., MHBA Joachim Gilly
Stv. Geschäftsführer
Cornichonstraße 4
76829 Landau
Phone:
0049
-6341-176882
Mail:
ed.suitnezniv@yllig.j
Direktorium und Qualitätsmanagementbeauftragter
Conference frequency: monatlich
Risk management
Joachim Gilly
Stv. Geschäftsführer
Phone:
0049
-6341-176882
Fax: 0049-6341-173535
Mail:
ed.suitnezniv@yllig.j
Direktorium und Qualitätsmanagementbeauftragter
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Vinzipedia (15.10.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Vinzipedia (15.10.2020) |
| RM05 |
Pain management Vinzipedia (15.10.2020) |
| RM06 |
Fall prophylaxis Vinzipedia (15.10.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Vinzipedia (15.10.2020) |
| RM08 |
Regulated handling of custodial measures Vinzipedia (15.10.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Vinzipedia (15.10.2020) |
| 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 Vinzipedia (15.10.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Vinzipedia (15.10.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vinzipedia (15.10.2020) |
| RM17 |
Standards for recovery and postoperative care Vinzipedia (15.10.2020) |
| RM18 |
Discharge management Vinzipedia (15.10.2020) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Teilnahme am krankenhausübergreifenden CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 25.02.2017 |
| 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 bei Bedarf |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |