Dealing with risks in patient care
Quality management
Dipl. Kff. Jessica Günther
Leiterin Qualitätsmanagement
Richardstraße 5-9
66333 Völklingen
Phone:
06898
-12-2583
Mail:
ed.nekinilk-ghs.kv@rehtneug.j
Steuerkreissitzung, Teilnehmer: Verwaltungsdirektor, Pflegedirektorin, ärztlicher Direktor, plus jeweilige Stellvertreter, Leiterin Qualitätsmanagement, Betriebsratsvorsitzende + Stellvertreter, Leiter Personal- und Organisationsentwicklung
Conference frequency: monatlich
Risk management
Jessica Günther
Leiterin Qualitätsmanagement
Phone:
06898
-12-2583
Fax: 06898-12-2409
Mail:
ed.nekinilk-ghs.kv@rehtneug.j
Interdisziplinär (je Fachabteilung ein Arzt und eine Pflegekraft) besetztes CIRS Auswertungsteam
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Integriertes Risikomanagement (01.05.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmanagement Konzept (01.05.2020) |
| RM05 |
Pain management Integriertes Risikomanagement (01.05.2020) |
| RM06 |
Fall prophylaxis Integriertes Risikomanagement (01.05.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Integriertes Risikomanagement (01.05.2020) |
| RM08 |
Regulated handling of custodial measures Integriertes Risikomanagement (01.05.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Integriertes Risikomanagement (01.05.2020) |
| 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 Integriertes Risikomanagement (01.05.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Integriertes Risikomanagement (01.05.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Integriertes Risikomanagement (01.05.2020) |
| RM17 |
Standards for recovery and postoperative care Integriertes Risikomanagement (01.05.2020) |
| RM18 |
Discharge management Integriertes Risikomanagement (01.05.2020) |
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: 01.06.2021 |
| 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, National Association of Statutory Health Insurance Doctors) |
| EF02 |
CIRS Berlin (Medical Association Berlin, 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) |