Dealing with risks in patient care
Quality management
Holger Schlichter
Qualitätsmanagementbeauftragter
Kapuziner Straße 4
66740 Saarlouis
Phone:
06831
-16-1008
Mail:
ed.suahneiram@rethcilhcs.regloh
Kaufmännische Direktion, Pflegedirektion, Oberarzt, Qualitätsmanagement, Mitarbeitervertretung
Conference frequency: halbjährlich
Risk management
Stephan Kremers
Ärztlicher Direktor
Kapuziner Straße 4
66740 Saarlouis
Phone:
06831
-16-1560
Fax: 06831-16-1567
Mail:
ed.suahneiram@sremerk.nahpets
Ärztlicher Direktor, stellvertretender ärztlicher Direktor, Pflegedirektor, Oberarzt Anästhesie, Qualitätsmanagementbeauftragte
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch in elektronischer Form (01.01.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch in elektronischer Form (01.01.2023) |
| RM05 |
Pain management QM-Handbuch in elektronischer Form (01.01.2023) |
| RM06 |
Fall prophylaxis QM-Handbuch in elektronischer Form (01.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch in elektronischer Form (01.01.2023) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch in elektronischer Form (01.01.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch in elektronischer Form (01.01.2023) |
| 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 QM-Handbuch in elektronischer Form (01.01.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch in elektronischer Form (01.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch in elektronischer Form (01.01.2023) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch in elektronischer Form (01.01.2023) |
| RM18 |
Discharge management QM-Handbuch in elektronischer Form (01.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Antibiotic Stewardship
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.01.2023 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |