Dealing with risks in patient care
Quality management
Christian Stienhans
Verwaltungsdirektor
32221 Bünde
Phone:
05223
-167-209
Fax: 05223-167-192
Mail:
ed.suahneknark-sakul@ofni
QB des Hauses Assistentin der Geschäftsführung
Conference frequency: monatlich
Risk management
Christian Stienhans
Verwaltungsdirektor
32221 Bünde
Phone:
05223
-167-209
Fax: 05223-167-192
Mail:
ed.suahneknark-sakul@ofni
QB des Hauses Assistentin der Geschäftsführung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (30.01.2018) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch (30.01.2018) |
| RM05 |
Pain management Ärztliches und pflegerische Schmerzkonzepte (01.03.2021) |
| RM06 |
Fall prophylaxis Sturzkonzept (17.01.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard 01 Dekubitusprophylaxe (24.02.2022) |
| RM08 |
Regulated handling of custodial measures VA-Haus Nr.78 (16.03.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch (30.01.2018) |
| 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 Qualitätsmanagementhandbuch (30.01.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagementhandbuch (30.01.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA-Haus Nr. 64 (30.08.2022) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagementhandbuch (30.01.2018) |
| RM18 |
Discharge management Entlassungskonzept (16.03.2021) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
In unserer Einrichtung gibt es viele Maßnahmen, die der Verbesserung der Patientensicherheit dienen: a) OP-WHO-Checkliste, b) Behandlungspfade, c) Sturzprophylaxe, d) Umgang mit MRSA-Patienten, e) Arzneimitteltherapiesicherheit, f) Tragen von Patientenarmbändern und v.m.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 02.05.2019 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| 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: monatlich
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association) |