Dealing with risks in patient care
Quality management
Bianca Fuß
QMB
Kapellenstr. 1-5
50226 Frechen
Phone:
02234
-502-20650
Mail:
ed.nehcerf-shk@ssuf.acnaib
Geschäftsführung Ärztlicher Direktor Pflegedirektorin QMB ärztl. Koordinator QM
Conference frequency: bei Bedarf
Risk management
Karsten Lehmann
Ärztlicher QM-Beauftragter
Kapellenstr. 1-5
50226 Frechen
Phone:
02234
-502-20
Mail:
ed.nehcerf-shk@nnamhel
Geschäftsführung Ärztlicher Direktor Pflegedirektorin QMB ärztl. Koordinator QM
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (31.01.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch (12.01.2024) |
| RM05 |
Pain management QM-Handbuch (14.06.2023) |
| RM06 |
Fall prophylaxis QM-Handbuch (14.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (22.07.2022) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch (14.07.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch (31.01.2023) |
| 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 QM-Handbuch (11.09.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch (11.09.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (26.07.2022) |
| RM17 |
Standards for recovery and postoperative care Handbuch Standards in der Anästhesie (19.06.2023) |
| RM18 |
Discharge management QM-Handbuch (01.10.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 17.05.2022 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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 |
|---|---|
| EF13 |
DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA) |