Elisabeth-Krankenhaus Kassel GmbH
Dealing with risks in patient care
Quality management
Markus Lingott
Qualitäts- und Risikomanager
Weinbergstraße 7
34117 Kassel
Phone: 0561-7201-474
Mail: ed.sk-hke@ttognilm
Sonja Pfeil
Qualitäts- und Risikomanager
Weinbergstraße 7
34117 Kassel
Phone: 0561-7201-673
Mail: ed.lessak-suahneknark-htebasile@liefPS
Vertreter aus allen Ebenen, fachabteilungs- und funktionsübergreifend
Conference frequency: quartalsweise
Risk management
QMB
Sonja Pfeil
Weinbergstraße 7
34117 Kassel
Phone: 0561-7201-673
Fax: 0561-7201-611
Mail: ed.lessak-suahneknark-htebasile@liefPS
QMB, OÄin Chirurgie, Pflegedirektorin, Verwaltungsleitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept zum Risikomanagement (12.05.2020) |
| RM04 |
Clinical emergency management Verfahrensanweisung Klinisches Notfallmanagement (12.05.2020) |
| RM05 |
Pain management Verfahrensanweisung Schmerzmanagment (01.06.2020) |
| RM06 |
Fall prophylaxis Konzept zum Risikomanagement (12.05.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Konzept zum Risikomanagement (12.05.2020) |
| RM08 |
Regulated handling of custodial measures Konzept zum Risikomanagement (12.05.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Konzept zum Risikomanagement (12.05.2020) |
| 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 Konzept zum Risikomanagement (12.05.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzept zum Risikomanagement (12.05.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzept zum Risikomanagement (12.05.2020) |
| RM17 |
Standards for recovery and postoperative care Konzept zum Risikomanagement (12.05.2020) |
| RM18 |
Discharge management Konzept zum Risikomanagement (12.05.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Überarbeitung Prae-OP-Checkliste, Erstellung Verfahrensanweisungen uvm
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.05.2020 |
| 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 jährlich |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |