Dealing with risks in patient care
Quality management
Merle Rasmusen
Qualitätsmanagementbeauftragte
John-Brinckman-Straße 8-10
19370 Parchim
Phone:
03871
-37-1011
Mail:
moc.soipelksa@nesumsar.m
Merle Rasmussen
Qualitätsmanagementbeauftragte
John-Brinckman-Straße 8-10
19370 Parchim
Phone:
03871
-37-1003
Mail:
moc.soipelksa@nessumsar.m
Geschäftsführung, Chefärzte, Personalabteilung, Pflegedienstleiter
Conference frequency: monatlich
Risk management
Merle Rasmusen
Qualitätsmanagementbeauftragte
John-Brinckman-Str. 8-10
19370 Parchim
Phone:
03871
-37-1011
Fax: 03871-37-2471
Mail:
moc.soipelksa@nesumsar.m
Merle Rasmussen
Qualitätsmanagementbeauftragte
John-Brinckman-Str. 8-10
19370 Parchim
Phone:
03871
-37-1003
Fax: 03871-37-2471
Mail:
moc.soipelksa@nessumsar.m
GF, PDL, QM, Medizincontrolling, Hygiene, Arzt
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Notfallmanagement Reanimation (10.09.2020) |
| RM05 |
Pain management Postoperative Schmerztherapie (06.06.2019) |
| RM06 |
Fall prophylaxis Dienstanweisung Sturzprophylaxe Sturzauswertung aus Orbis mit Maßnahmenableitung (24.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard: Dekubitusprophylaxe (04.09.2020) |
| RM08 |
Regulated handling of custodial measures Gewährleistung der Patientensicherheit in unserer Einrichtung (25.03.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (06.06.2019) |
| 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 Sicherheits-Checkliste OP (12.08.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Sicherheits-Checkliste OP (12.08.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Sicherheits-Checkliste OP, Verfahrensanweisung Patientenarmbänder, VA Sichere Patientenidentifikation (23.03.2023) |
| RM17 |
Standards for recovery and postoperative care Pflege und Überwachung im Aufwachraum (01.06.2018) |
| RM18 |
Discharge management AKG-KGF-VA-53 Entlassmanagement (05.06.2018) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Anpassung der Prozesse zur frühzeitigen Fehleridentifikation und Fehlervermeidung. Regelmäßige Schulungen der Mitarbeiter zum Thema Patientensicherheit. Anwendung einer speziellen OP-Sicherheits-Checkliste bei allen Eingriffen. STOP-Injekt Kampagne Asklepios.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.11.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: quartalsweise
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |