Dealing with risks in patient care
Quality management
Frau Petra Heidkamp
Qualitätsmanagement-, Risikomanagementbeauftragte
Plöner Str. 42
23701 Eutin
Phone:
04521
-802-406
Mail:
ed.nitue-kes@pmakdieh
Pflege, Medizin, Therapie, Verwaltung, Haustechnik, IT, Patientenservice
Conference frequency: quartalsweise
Risk management
Petra Heidkamp
Qualitätsmanagement-, Risikomanagementbeauftragte
Plöner Str. 42
23701 Eutin
Phone:
04521
-802-450
Fax: 04521-802-450
Mail:
ed.nitue-kes@pmakdieh
Pflege, Medizin, Therapie, Verwaltung, Haustechnik, IT, Patientenservice
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available CIRS, Risikobericht EVV (20.05.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management CIRS (20.05.2022) |
| RM05 |
Pain management CIRS, Risikobericht EVV (20.05.2022) |
| RM06 |
Fall prophylaxis CIRS, Erhebung der Sturzdaten und Auswertung (20.05.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) CIRS, Risikobericht EVV (20.05.2022) |
| RM08 |
Regulated handling of custodial measures Qualitätssicherungsdokument: Umgang mit freiheitsentziehenden Maßnahmen (20.05.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Konzept Medizinproduktesicherheit, Verfahrensanweisung "Umgang mit Medizinprodukten" (20.05.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenidentifikationsarmband (20.05.2022) |
| RM18 |
Discharge management Qualitätssicherungsdokumente zum Thema "Entlassungsmanagement" (20.05.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Kontinuierliche Maßnahmen zur Verbesserung der Patientensicherheit.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 20.05.2022 |
| 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 jährlich |
Conference committee
Conference frequency: jährlich
| 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) |