Dealing with risks in patient care
Quality management
Frau Christiane Sander
Qualitäts- und Risikomanagement
Bassermannstraße 1
68165 Mannheim
Phone:
0621
-424-4775
Mail:
ed.eppurgtbb@rednas.c
Oberarzt Innere Medizin, Oberarzt Allgemeinchirurgie, Pflegedienstleitung, Pflegerische Mitarbeitende, Technischer Leiter, Mitarbeitendenvertretung, Apotheke, Qualitäts- und Risikomanagement
Conference frequency: monatlich
Risk management
Christiane Sander
Qualitäts- und Risikomanagement
Bassermannstraße 1
68165 Mannheim
Phone:
0621
-424-4775
Mail:
ed.eppurgtbb@rednas.c
Oberarzt Innere Medizin, Oberarzt Allgemeinchirurgie, Pflegedienstleitung, Pflegerische Mitarbeitende, Technischer Leiter, Mitarbeitendenvertretung, Apotheke, Qualitäts- und Risikomanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dokumentenmanagementsystem (15.10.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Dokumentenmanagementsystem (15.10.2024) |
| RM05 |
Pain management Dokumentenmanagementsystem (15.10.2024) |
| RM06 |
Fall prophylaxis Dokumentenmanagementsystem (15.10.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dokumentenmanagementsystem (15.10.2024) |
| RM08 |
Regulated handling of custodial measures Dokumentenmanagementsystem (15.10.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dokumentenmanagementsystem (15.10.2024) |
| 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 Dokumentenmanagementsystem (15.10.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Dokumentenmanagementsystem (15.10.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Dokumentenmanagementsystem (15.10.2024) |
| RM17 |
Standards for recovery and postoperative care Dokumentenmanagementsystem (15.10.2024) |
| RM18 |
Discharge management Dokumentenmanagementsystem (15.10.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Aus CIRS-Meldungen, Feedback der Patienten / Angehörigen, Begehungen, Befragungen werden Maßnahmen abgeleitet, die zur Patientensicherheit beitragen, z. B. Verbesserung der Lesbarkeit von Dokumentation, Checklisten, Schulungen. Mittels einem hohen Einsatz von Fachkräften, standardisierter Prozeduren, Checklisten und gegenseitiger kollegialer Kontrolle erfolgt die tägliche Arbeit auf einem hohen sicherheitstechnischen Niveau.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.10.2024 |
| 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: monatlich
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Berlin Medical Association, German Medical Association) |