Dealing with risks in patient care
Quality management
Edith Beyer
Leitung Abteilung Qualitätsmanagement, Beschwerdemanagement
Starkenburgring 66
63069 Offenbach
Phone:
069
-8405-3325
Mail:
ed.anas@reyeb.htide
Geschäftsführer, Ärztlicher Direktor, Pflegedirektion, Qualitätsmanagementbeauftragte
Conference frequency: quartalsweise
Risk management
Edith Beyer
Leitung Abteilung Qualitätsmanagement, Beschwerdemanagement
Phone:
069
-8405-3325
Fax: 069-8405-4071
Mail:
ed.anas@reyeb.htide
Geschäftsführer, Ärztlicher Direktor, Pflegedirektion, Qualitätsmanagementbeauftragte
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Das QM-System der Sana Klinikum Offenbach GmbH (02.02.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Reanimationsmanagement (27.05.2021) |
| RM05 |
Pain management VA Schmerzmanagement ; SOP Perioperative Schmerztherapie; SOP Periduralkatheter, SOP PDK-Anlage; SOP Akutschmerzdienst (05.09.2022) |
| RM06 |
Fall prophylaxis Sturzpropyhlaxe in der Pflege (Expertenstandard), Flyer Sturzprävention (01.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Arbeitsanweisung Dekubitusprophylaxe in der Pflege (20.02.2019) |
| RM08 |
Regulated handling of custodial measures VA Umgang mit freiheitsentziehenden Maßnahmen (19.08.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Samba Handbuch - aktive Medizinprodukte betreiben und anwenden (24.05.2019) |
| 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 VA OP-Satzung (25.05.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings VA OP-Satzung (25.05.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Patientenarmband (23.12.2020) |
| RM17 |
Standards for recovery and postoperative care SOP Postoperative Überwachung und Schmerztherapie im Aufwachraum (08.05.2022) |
| RM18 |
Discharge management VA Entlassungsmanagement (24.04.2020) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Erstellung weiterer Arbeitsanweisungen zur Verbesserung der Patientensicherheit, Fallanalysen, Mo-Mo-Konferenzen, Durchführung von Risikoaudits auf Grundlage des umfangreichen Sana Risikopräventionskataloges
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.01.2023 |
| 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 quartalsweise |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |