Dealing with risks in patient care
Quality management
Sina Piatkowski
QMB
Feldstrasse 1
27793 Wildeshausen
Phone:
04431
-9829080-0
Mail:
ed.muennahoj-suahneknark@bmq
Krankenhausdirektorium, QM/RM
Conference frequency: monatlich
Risk management
Sina Piatkowski
QMB
Feldstrasse 1
27793 Wildeshausen
Phone:
04431
-9829080-0
Mail:
ed.muennahoj-suahneknark@bmq
Krankenhausdirektorium, QM/RM
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM05 |
Pain management Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM06 |
Fall prophylaxis Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM08 |
Regulated handling of custodial measures Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Geschäftsordnung riskop im Johanneum (01.11.2023) |
| 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 OP-Statut (04.04.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM17 |
Standards for recovery and postoperative care Geschäftsordnung riskop im Johanneum (01.11.2023) |
| RM18 |
Discharge management Geschäftsordnung riskop im Johanneum (01.11.2023) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
2.2.1.7 AB Zwischenfallmanagement - CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.03.2023 |
| 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 |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |