Dealing with risks in patient care
Quality management
Tanja Hewelt
Leitung Verwaltung
Alte Holstenstraße 2 und 16
21031 Hamburg
Phone:
040
-72575-290
Mail:
ed.frodegreb-kinilk-sixarp@tleweh
Verwaltung / Station / OP
Conference frequency: monatlich
Risk management
Jan-Michael Lenk
Anästhesist / QM-Beauftragter
Phone:
040
-72575-292
Fax: 040-72575-192
Mail:
ed.frodegreb-kinilk-sixarp@knel
Verwaltung / Station / OP
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available PKB_QMH (23.11.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management PKB_QMH (23.11.2023) |
| RM05 |
Pain management PKB_QMH (23.11.2023) |
| RM06 |
Fall prophylaxis PKB_QMH (23.11.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) PKB_QMH (23.11.2023) |
| RM08 |
Regulated handling of custodial measures PKB_QMH (23.11.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices PKB_QMH (23.11.2023) |
| 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 PKB_QMH (23.11.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings PKB_QMH (23.11.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups PKB_QMH (23.11.2023) |
| RM17 |
Standards for recovery and postoperative care PKB_QMH (23.11.2023) |
| RM18 |
Discharge management PKB_QMH (23.11.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einzel- und/oder Teambesprechungen, ggfls. Abänderung/Konkretisierung von Verfahrensanweisungen, Checklisten und Arbeitsanweisungen.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 18.10.2023 |
| 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 halbjährlich |
Conference committee
Conference frequency: