Dealing with risks in patient care
Quality management
Dipl. Pflegewirtin (FH), QMB, QMA Gabriele Reichel
QMB
Gabriel-von-Seidl-Str. 81
67550 Worms
Phone:
06241
-501-4406
Mail:
ed.smrow-mukinilk@lehcier.eleirbag
Alle zertifizierten Zentren, GF
Conference frequency: quartalsweise
Risk management
Gabriele Reichel
QMB
Gabriel-von-Seidl-Str. 81
67550 Worms
Phone:
06241
-501-4406
Fax: 06241-501-3099
Mail:
ed.smrow-mukinilk@lehcier.eleirbag
Geschäftsführung, ISB, Projektmanagement, Qualitätsmanagement, Mitarbeiter der Fachabteilungen, weitere Mitarbeiter nach Bedarf
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Abteilungsübergreifende Risikomatrix (30.06.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Schockraum-AG, Traumanetzwerk, Standards und Verfahrensanweisungen (30.06.2021) |
| RM05 |
Pain management Standards und Verfahrensanweisungen (30.06.2021) |
| RM06 |
Fall prophylaxis Standardrichtlinie (01.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standardrichtlinie (01.09.2022) |
| RM08 |
Regulated handling of custodial measures Dienstanweisung (01.08.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch zum Medizinproduktemanagement (30.01.2020) |
| 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 OP-Checkliste und Team Time Out (01.02.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste und Team Time Out, Tumorbord (30.06.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Checkliste und Team Time Out (01.02.2019) |
| RM17 |
Standards for recovery and postoperative care Standards und verfahrensanweisungen (30.06.2021) |
| RM18 |
Discharge management Entlassungsmanagement und Pflege- und Sozialberatung (01.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
OP-Checkliste und Herzkatheter-Checkliste zur Patientensicherheit, Patientenarmbänder, Standards und Verfahrensanweisungen, diverse Checklisten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.05.2022 |
| 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 quartalsweise |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |