Dealing with risks in patient care
Quality management
Kai Lippmann
Bereichsleitung Qualitäts- und klinisches Risikomanagement
Klosterkamp 1a
23795 Bad Segeberg
Phone:
04551
-802-4910
Mail:
ed.nekinilkregrebeges@ofni
Gewählte ärztl. Leitungen aus allen Standorten, Geschäftsführung, Qualitätsmanagement
Conference frequency: halbjährlich
Risk management
Stefanie Fellmer
Klinische Risikomanagerin
Phone:
04551
-802-4910
Fax: 04551-802-4850
Mail:
ed.nekinilkregrebeges@ofni
Gewählte ärztl. Leitungen aus allen Standorten, Geschäftsführung, Qualitätsmanagement
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dokumentenlenkung (QM/RM übergreifend) (19.04.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmanagement (17.08.2023) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (17.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (27.06.2022) |
| RM08 |
Regulated handling of custodial measures Hinlaufgefährdete Patienten (12.10.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Interne / Externe Meldung Rückruf/ Vorkommnis nach MPBetreibV (z. Zt. in Überarbeitung) (20.05.2020) |
| 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-Statut (26.08.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheitscheckliste (22.02.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenidentifikationsarmbänder (z. Zt. in Überarbeitung) (12.10.2020) |
| RM17 |
Standards for recovery and postoperative care Z. B. Pflegerische Vorbereitung und Nachsorge von kardiologischen Eingriffen (15.11.2021) |
| RM18 |
Discharge management Entlassmanagement (z. Zt. in Überarbeitung) (09.10.2020) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Patientenidentifakationsbänder, regelhafte Vortagsanalysen in Frühbesprechungen und Ableitung von entsprechenden Maßnahmen, CIRS-Beauftragter
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.09.2023 |
| 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 jährlich |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |