Dealing with risks in patient care
Quality management
Sabine Vitt
QMB
Heinrich-Sommer-Straße 4
59939 Olsberg
Phone:
02962
-803-138
Mail:
ed.kinilk-htebasile@ttiv.s
QMB`s und RM treffen sich wöchentlich. Mit der HFK, PDL, GF und weiteren Personen wird sich bei Bedarf ausgetauscht. Qualitätszirkel finden bei Bedarf statt.
Conference frequency: wöchentlich
Risk management
MA aus verschiedenen Abteilungen gehören dieser "CIRS-Gruppe" an. Der RM und die QMB´s treffen sich wöchentlich.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM05 |
Pain management Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM06 |
Fall prophylaxis Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM08 |
Regulated handling of custodial measures Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbücher, Standard- und Formularwesen (01.12.2023) |
| 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 Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM17 |
Standards for recovery and postoperative care Handbücher, Standard- und Formularwesen (01.12.2023) |
| RM18 |
Discharge management Handbücher, Standard- und Formularwesen (01.12.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Überarbeitung, Verbesserung und Einsatz von Standards, Checklisten,etc.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 20.09.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency: