Dealing with risks in patient care
Quality management
Anne Reuter-El Bermaki
Verantwortlicher für das Qualitäts- und Risikomanagement
Steinfeldstraße 5
52222 Stolberg (Rheinl.)
Phone:
02402
-107-4006
Mail:
ed.mehelhteb@retuer
Regelmäßige Teilnahme des QMBs an Direktoriumssitzungen Regelmäßiges Treffen der QM-Koordinatoren (Verantwortliche aller klinischen, pflegerischen und administrativen Arbeitsbereiche)
Conference frequency: monatlich
Risk management
Anne Reuter-El Bermaki
Verantwortlicher für das Qualitäts- und Risikomanagement
Steinfeldstraße 5
52222 Stolberg (Rheinl.)
Phone:
02402
-107-4006
Fax: 02402-107-8227
Mail:
ed.mehelhteb@retuer
Regelmäßige Teilnahme des QMBs an Direktoriumssitzungen Regelmäßiges Treffen der QM-Koordinatoren (Verantwortliche aller klinischen, pflegerischen und administrativen Arbeitsbereiche)
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (24.03.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Reanimationsstandard (31.01.2020) |
| RM05 |
Pain management Schmerztherapiekonzept (01.08.2020) |
| RM06 |
Fall prophylaxis Expertenstandard (17.08.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard (17.08.2020) |
| RM08 |
Regulated handling of custodial measures VA Umgang mit Fixierungen (01.11.2015) |
| RM09 |
Regulated handling of occurring malfunctions of devices Umgang mit Medizinprodukten (01.01.2016) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss OP-Sicherheitscheckliste (01.10.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheitscheckliste (01.10.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Präoperative Seitenmarkierung Patientientenidentifikation (01.10.2013) |
| RM17 |
Standards for recovery and postoperative care Aufwachraummanagement (01.03.2010) |
| RM18 |
Discharge management QMH (24.03.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Umsetzung diverser Fallbesprechungen in den klinischen Abteilungen Publikation mehrerer nationaler und internationaler CIRS-Fälle
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.08.2010 |
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |