Dealing with risks in patient care
Quality management
Guido Deckstein
Qualitätsbeauftragter
Im Kreuzfeld 4
34537 Bad Wildungen
Phone:
05621
-803-434
Mail:
ed.kinilk-rekciw-renrew@nietskced
Klinikdirektorium und Qualitätsmanagement
Conference frequency: monatlich
Risk management
Klinikdirektorium und Qualitätsmanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (22.07.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch (02.01.2024) |
| RM05 |
Pain management QM-Handbuch (02.01.2024) |
| RM06 |
Fall prophylaxis QM-Handbuch (22.07.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (22.07.2024) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch (22.07.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Technischer Dienst / Medizintechnik (02.01.2024) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch (22.07.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (22.07.2024) |
| RM18 |
Discharge management QM-Handbuch (02.01.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
dies ist in Form eines anonymen Meldesystems für "Beinahe-Fehler" (CIRS), sowie ein geregeltes Fehler/ Zwischenfall-Meldesystem etabliert
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 02.01.2024 |
| 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 jährlich |
Conference committee
Conference frequency: