Dealing with risks in patient care

Quality management

Claudia Schulze Aquack

Qualitätsmanagementbeauftragte

Ostenallee 83
59071 Hamm

Phone: 02381 -986-0
Mail: ed.mmah-tmk@ofnI

Geschäftsleitung, Ärztlicher Dienst, Pflegedienst, Physiotherapie, Physikalische Therapie, Psychotherapie, Verwaltung,Technischer Dienst, Küche, Reinigung

Conference frequency: quartalsweise

Risk management

Claudia Schulze Aquack

Qualitätsmanagementbeauftragte

Ostenallee 83
59071 Hamm

Phone: 02381 -986-0
Fax: 02381-986-499
Mail: ed.mmah-tmk@ofnI

Betriebsleitung, Qualitätsmanagement, Betriebsrat, Arzt/Ärztin

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM04

Clinical emergency management

QM-Handbuch vom (10.01.2022)

RM05

Pain management

QM-Handbuch vom (28.03.2023)

RM09

Regulated handling of occurring malfunctions of devices

QM-Handbuch vom (07.04.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Schmerzkonferenzen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

QM-Handbuch vom (30.03.2023)

RM18

Discharge management

QM-Handbuch vom (12.01.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

laufende Maßnahmen z.B. Arzneimitteltherapiesicherheit, Überprüfung der Patientenidentität bei Interventionellen Eingriffen

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 07.04.2021

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 bei Bedarf

Conference committee

Conference frequency: