St. Josefs Krankenhaus Balserische Stiftung
Dealing with risks in patient care
Quality management
Christian Uloth
Verwaltungsleiter
Wilhelmstraße 7
35392 Gießen
Phone: 0641-7002-0
Mail: ed.abkoj@ofni
Matthias Weber
Kaufmännischer Direktor
Wilhelmstraße 7
35392 Gießen
Phone: 0641-7002-0
Mail: ed.abkoj@ofni
Ärztlicher Dienst, Pflege, Funktionsdienste, Verwaltung
Conference frequency: quartalsweise
Risk management
Verwaltungsleiter
Christian Uloth
Wilhelmstraße 7
35392 Gießen
Phone: 0641-7002-0
Mail: ed.abkoj@ofni
Kaufmännischer Direktor
Matthias Weber
Wilhelmstraße 7
35392 Gießen
Phone: 0641-7002-0
Mail: ed.abkoj@ofni
Verschiedene AGs: - Hygieneteam (monatliche Treffen) - Abteilungsbesprechungen (wöchentliche Treffen) - AG-Sicherheit (vier mal pro Jahr; Teilnehmer: GF, Oberin, VL, EDV, PDL, HWL, Ltg. Patientenaufnahme, Ass. d. Geschäftsführung, Techn. Leiter, Brandschutzbeauftr., Beauftr. fü. Arbeitssicherheit)
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Verfahrensanweisung Herzalarm (29.09.2020) |
| RM05 |
Pain management SOP Thoraxschmerz Akutes Koronarsyndrom (03.09.2014) |
| RM06 |
Fall prophylaxis Maßnahmen zur Sturzprophylaxe (13.04.2016) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standardpflegeplan Dekubitusprophylaxe (17.02.2016) |
| RM08 |
Regulated handling of custodial measures Freiheitsbeschränkende Maßnahmen - Fixierung von Patienten (22.10.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung für Gerätebeauftragte Personen (11.03.2013) |
| 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 Surgical Safety Checklist (WHO) (30.01.2014) |
| RM15 |
Preoperative, complete presentation of necessary findings Surgical Safety Checklist (30.01.2014) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Surgical Safety Checklist (30.01.2014) |
| RM17 |
Standards for recovery and postoperative care Postoperative Anordnungen (29.07.2014) |
| RM18 |
Discharge management Checkliste Entlassung (13.07.2017) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Fehlermanagementbeauftragter berichtet in der Chefarztkonferenz
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.10.2016 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| 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: