Dealing with risks in patient care
Quality management
Rebecca Maria Geis
Qualitätsbeauftragte
Goethestraße 4
35423 Lich
Phone:
06404
-81-611
Mail:
moc.soipelksa@sieg.r
Geschäftsführung, Klinikmanagerin, Ärztlicher Direktor, stv. Ärztlicher Direktor, Pflegedienstleitung, QMB
Conference frequency: quartalsweise
Risk management
Rebecca Maria Geis
Qualitätsbeauftragte
Goethestr. 4
35423 Lich
Phone:
06404
-81-611
Fax: 06404-81-485
Mail:
moc.soipelksa@sieg.r
Geschäftsführung, Klinikmanagerin, Ärztlicher Direktor, stv. Ärztlicher Direktor, Pflegedienstleitung, QMB
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Klinisches Risikomanagement (23.03.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Konzept Notfallmanagement (11.08.2023) |
| RM05 |
Pain management Schmerzdokumentation und -therapie (Standard) (10.08.2022) |
| RM06 |
Fall prophylaxis Standard Sturzprophylaxe (13.07.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (11.08.2021) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Durchführung freiheitsentziehender Maßnahmen (07.06.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Störmeldung Meldung von defekten Medizingeräten u. Vorkommnis Medizintechnik (30.09.2020) |
| 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 (10.10.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheitscheckliste (10.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung Vermeidung einer Eingriffsverwechslung (23.03.2023) |
| RM17 |
Standards for recovery and postoperative care Standard Aufwachraum/Anordnung Station (23.03.2023) |
| RM18 |
Discharge management Standard Entlassungsmanagement (03.09.2022) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
z.B. interne und externe Audits
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 23.03.2023 |
| 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 monatlich |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |