Dealing with risks in patient care
Quality management
M.A. Kathrin Zeien
Leitung Qualitäts-, Beschwerde- und Risikomanagement
Stolte Ley 5
59759 Arnsberg
Phone:
02932
-980-248070
Mail:
ed.dnalreuashcoh-mukinilk@neiez.k
M.A. Kathrin Zeien
Leitung Qualitäts-, Beschwerde- und Risikomanagement
Stolte Ley 5
59759 Arnsberg
Phone:
02932
-980-248070
Mail:
ed.dnalreuashcoh-mukinilk@neiez.k
Standortleitungen, Jour Fixe QM-Leitung
Conference frequency: bei Bedarf
Risk management
Kathrin Zeien
Leitung Qualitäts-, Beschwerde- und Risikomanagement
Phone:
02932
-980-248070
Fax: 02932-980-738072
Mail:
ed.dnalreuashcoh-mukinilk@neiez.k
Kathrin Zeien
Leitung Qualitäts-, Beschwerde- und Risikomanagement
Phone:
02932
-980-248070
Fax: 02932-980-738072
Mail:
ed.dnalreuashcoh-mukinilk@neiez.k
Institutsleitung, Jour Fixe QM, Bearbeitungsgruppe CIRS
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Richtlinie zum Risikomanagement Klinikum Hochsauerland (18.11.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallkette (15.07.2020) |
| RM05 |
Pain management Klinikinterne Anpassung zum Expertenstandard Schmerz in der Pflege (10.05.2021) |
| RM06 |
Fall prophylaxis Klinikinterne Anpassung Expertenstandard Sturzprophylaxe (24.02.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Klinikinterne Anpassung Expertenstandard Dekubitusprophylaxe (08.09.2022) |
| RM08 |
Regulated handling of custodial measures freiheitsentziehende Maßnahmen (19.08.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Meldung von Vorkommnissen im Umgang mit MedizinproduktenPatienteneigene Medizinprodukte (18.11.2019) |
| 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 OP-Sicherheitscheckliste (24.08.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheitscheckliste (24.08.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Seitenmarkierung (24.08.2021) |
| RM17 |
Standards for recovery and postoperative care postoperative Patientenbetreuung im Aufwachraum (17.10.2023) |
| RM18 |
Discharge management Entlassmanagement (11.04.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
CIRS-Gespräche; Einführung PIA, Prüfung von Prozessabläufen und daraus resultierend Erstellung von VA; Mitarbeiterschulungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.08.2021 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |