Dealing with risks in patient care
Quality management
Silke Zimmermann
Bereichsleitung Qualitätsmanagement
Avallonstraße 32
56812 Cochem
Phone:
02671
-985-258
Mail:
ed.mehcoc-suahneknarkneiram@nnamremmiz.s
Im Marienkrankenhaus Cochem arbeitet seit 2007 eine Steuergruppe. In der Steuergruppe des Krankenhauses sind die Kaufmännische Leitung, die Pflegedienstleitung, die Ärztliche Leitung und die Bereichsleitung Qualitätsmanagement vertreten. Die Steuergruppe tagt regelmäßig alle 2 Monate.
Conference frequency: andere Frequenz
Risk management
Silke Zimmermann
Bereichsleitung Qualitätsmanagement
Avallonstraße 32
56812 Cochem
Phone:
02671
-985-258
Fax: 02671-985-259
Mail:
ed.mehcoc-suahneknarkneiram@nnamremmiz.s
Im Marienkrankenhaus Cochem arbeitet seit 2007 eine Steuergruppe. In der Steuergruppe des Krankenhauses sind die Kaufmännische Leitung, die Pflegedienstleitung, die Ärztliche Leitung und die Bereichsleitung Qualitätsmanagement vertreten. Die Steuergruppe tagt regelmäßig alle 2 Monate.
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (01.12.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Qualitätsmanagementhandbuch (01.12.2020) |
| RM06 |
Fall prophylaxis Qualitätsmanagementhandbuch (01.12.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagementhandbuch (01.12.2020) |
| RM08 |
Regulated handling of custodial measures Qualitätsmanagementhandbuch (01.12.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch (01.12.2020) |
| 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 Qualitätsmanagementhandbuch (01.12.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagementhandbuch (01.12.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagementhandbuch (01.12.2020) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagementhandbuch (01.12.2020) |
| RM18 |
Discharge management Qualitätsmanagementhandbuch (01.12.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Optimierung der Patientenaufnahme in der Interdisziplinären Notaufnahme, Überarbeitung und Anpassung der Hygieneregelungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.12.2020 |
| 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 halbjährlich |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |