Dealing with risks in patient care

Quality management

Frau Kristina Riske

Qualitätsmanagement

Hospitalstraße 45
53840 Troisdorf

Phone: 02241 -801-109
Mail: ed.enilno-ofg@eksir.anitsirk

Frau Kristina Riske

Qualitätsmanagement

Hospitalstraße 45
53840 Troisdorf

Phone: 02241 -801-109
Mail: ed.enilno-ofg@eksir.anitsirk

erweiterte Krankenhausbetriebsleitung und Qualitätsmanagement

Conference frequency: andere Frequenz

Risk management

Kristina Riske

Qualitätsmanagement

Hospitalstraße 45
53840 Troisdorf

Phone: 02241 -801-109
Mail: ed.enilno-ofg@eksir.anitsirk

Kristina Riske

Qualitätsmanagement

Hospitalstraße 45
53840 Troisdorf

Phone: 02241 -801-109
Mail: ed.enilno-ofg@eksir.anitsirk

erweiterte Krankenhausbetriebsleitung und Qualitätsmanagement

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Organisationshandbuch (01.01.2021)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Organisationshandbuch (01.01.2021)

RM05

Pain management

Organisationshandbuch (01.01.2021)

RM06

Fall prophylaxis

Organisationshandbuch (01.01.2021)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Organisationshandbuch (01.01.2021)

RM08

Regulated handling of custodial measures

Organisationshandbuch (01.01.2021)

RM09

Regulated handling of occurring malfunctions of devices

Organisationshandbuch (01.01.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM15

Preoperative, complete presentation of necessary findings

Organisationshandbuch (01.01.2021)

RM16

Procedure to avoid procedural and patient mix-ups

Organisationshandbuch (01.01.2021)

RM17

Standards for recovery and postoperative care

Organisationshandbuch (01.01.2021)

RM18

Discharge management

Organisationshandbuch (01.01.2021)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Es existiert ein Maßnahmenplan, nach dem kontinuierlich Verbesserungen zur Patientensicherheit vorgenommen werden. (-> Maßnahmenverfolgung)

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 01.07.2022

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: bei Bedarf

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea