Dealing with risks in patient care

Quality management

Herr Prof. Dr. med. Jan Ortlepp

Ärzlicher Direktor

Hildesheimer Straße 158
30880 Laatzen

Phone: 0511 -8208-2200
Mail: ed.hrk@ppeltro.naj

Siehe Vorwort

Conference frequency: quartalsweise

Risk management

Jan Ortlepp

Ärzlicher Direktor


30880 Laatzen

Phone: 0511 -8208-2200
Fax: 0511-8208-2215
Mail: ed.hrk@ppeltro.naj

Siehe Vorwort

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Dokumentenlenkungssystem (DLS) (01.07.2019)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Dokumentenlenkungssystem (DLS) (01.07.2019)

RM05

Pain management

Dokumentenlenkungssystem (DLS) (01.07.2019)

RM06

Fall prophylaxis

KRH Pflegestandards: Sturzprophylaxe, Expertenstandard (03.12.2018)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

KRH Pflegestandards: Dekubitusprophylaxe, Expertenstandard (03.12.2018)

RM08

Regulated handling of custodial measures

KRH Pflegestandards: Fixierung eines Patienten (03.12.2018)

RM09

Regulated handling of occurring malfunctions of devices

KRH Richtlinie der Medizintechnik (24.10.2012)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Qualitätszirkel
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

Dokumentenlenkungssystem (DLS) (01.07.2019)

RM15

Preoperative, complete presentation of necessary findings

Dokumentenlenkungssystem (DLS) (01.07.2019)

RM16

Procedure to avoid procedural and patient mix-ups

Dokumentenlenkungssystem (DLS) (01.07.2019)

RM17

Standards for recovery and postoperative care

Dokumentenlenkungssystem (DLS) (01.07.2019)

RM18

Discharge management

Prozeßbeschreibung Entlassungsmanagement (09.10.2017)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

konzernweites webbasiertes CIRS

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 14.10.2019

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: bei Bedarf

No. Explanation

Other