Dealing with risks in patient care
Quality management
Dipl. Kffr. Jessica Günther
Leitung Qualitätsmanagement
Richardstraße 5-9
66333 Völklingen
Phone:
06898
-12-2583
Mail:
ed.nekinilk-ghs.kv@rehtneug.j
Qualitätszirkel, Teilnehmer: Verwaltungsdirektion, Pflegedirektion, ärztliche Direktion, Leiterin Qualitätsmanagement, Betriebsratsvorsitzende
Conference frequency: monatlich
Risk management
Jessica Günther
Leitung Qualitätsmanagement
Phone:
06898
-12-2583
Fax: 06898-12-2409
Mail:
ed.nekinilk-ghs.kv@rehtneug.j
Qualitätszirkel, Teilnehmer: Verwaltungsdirektion, Pflegedirektion, ärztliche Direktion, Leiterin Qualitätsmanagement, Betriebsratsvorsitzende
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Richtlinie zum Chancen- und Risikomanagements (01.10.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmanagementkonzept (01.06.2024) |
| RM05 |
Pain management Konzept Schmerzmanagement (30.05.2024) |
| RM06 |
Fall prophylaxis Statut Sturzmanagement (01.12.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Statut Wund- und Dekubitusmanagement (01.08.2023) |
| RM08 |
Regulated handling of custodial measures SOP Unterbringung und Fixierung Psychiatrie (09.07.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Handbuch Medizinprodukte (17.05.2021) |
| 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 Richtlinie zum Chancen- und Risikomanagements (01.10.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Richtlinie zum Chancen- und Risikomanagements (01.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Richtlinie zum Chancen- und Risikomanagements (01.10.2023) |
| RM17 |
Standards for recovery and postoperative care Richtlinie zum Chancen- und Risikomanagements (01.10.2023) |
| RM18 |
Discharge management Richtlinie zum Chancen- und Risikomanagements (01.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Patientensicherheitsschirm
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 14.11.2023 |
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association) |
| EF02 |
CIRS Berlin (Berlin Medical Association, German Medical Association) |
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |