Dealing with risks in patient care

Quality management

Franz Josef Bruch

Qualitätsmanagementbeauftragter

Wiedenbrücker Straße 33
59555 Lippstadt

Phone: 02941 -671105-
Mail: ed.suahneknark-ve@hcurb

Geschäftsführung, ärztlicher Direktor , Qualitätsmanagement, Pflegedirektion, Referentin der Krankenhausbetriebsleitung

Conference frequency: monatlich

Risk management

Franz Josef Bruch

Qualitätsmanagementbeauftragter


59525 Lippstadt

Phone: 02941 -671105-
Mail: ed.suahneknark-ve@hcurb

Geschäftsführung, ärztlicher Direktor , Qualitätsmanagement, Pflegedirektion, Referentin der Krankenhausbetriebsleitung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

SOP (01.06.2022)

RM05

Pain management

SOP (01.06.2022)

RM06

Fall prophylaxis

Expertenstandard (01.06.2022)

RM07

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

Expertenstandard (01.04.2022)

RM08

Regulated handling of custodial measures

SOP (07.11.2022)

RM09

Regulated handling of occurring malfunctions of devices

MPG Handbuch (11.04.2022)

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

RM14

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

SOP (23.05.2022)

RM15

Preoperative, complete presentation of necessary findings

OP Sicherheitscheckliste (23.05.2022)

RM16

Procedure to avoid procedural and patient mix-ups

SOP (23.05.2022)

RM17

Standards for recovery and postoperative care

OP Sicherheitscheckliste (23.05.2022)

RM18

Discharge management

Expertenstandard (14.11.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

CIRS Fallkonferenzen

No. Explanation
IF01

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

As of: 31.12.2018

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:

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)

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