Dealing with risks in patient care

Quality management

Daniel Kreidl

Qualitätsmanagementbeauftragter

Brüderstraße 65
42853 Remscheid

Phone: 02191 -797-775
Mail: ed.anas@rkf.mq

Geschäftsführung; Ärztliche Direktion; Pflegedirektion; Qualitätsmanagement

Conference frequency: monatlich

Risk management

Ines P. Grunewald

Geschäftsführerin

Phone: 02191 -797-556
Fax: 02191-797-211
Mail: ed.anas@rkf.ofni

Geschäftsführung; Ärztliche Direktion; Pflegedirektion; Qualitätsmanagement

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

VA Fehler- und Risikomanagement (26.05.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Fehler- und Risikomanagement (26.05.2021)

RM05

Pain management

VA Fehler- und Risikomanagement (26.05.2021)

RM06

Fall prophylaxis

VA Fehler- und Risikomanagement (26.05.2021)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

VA Fehler- und Risikomanagement (26.05.2021)

RM08

Regulated handling of custodial measures

VA Fehler- und Risikomanagement (26.05.2021)

RM09

Regulated handling of occurring malfunctions of devices

VA Fehler- und Risikomanagement (26.05.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
  • Leitungskonferenz
  • Komplikationsbesprechung
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

VA Fehler- und Risikomanagement (26.05.2021)

RM15

Preoperative, complete presentation of necessary findings

VA Fehler- und Risikomanagement (26.05.2021)

RM16

Procedure to avoid procedural and patient mix-ups

VA Fehler- und Risikomanagement (26.05.2021)

RM17

Standards for recovery and postoperative care

VA Fehler- und Risikomanagement (26.05.2021)

RM18

Discharge management

VA Fehler- und Risikomanagement (26.05.2021)

Fault reporting systems

Conference committee

Conference frequency: halbjährlich

Measures

Hygienebegehungen, aktive Fallanalysen nach Londen Protokoll, Durchführung von externen und internen Risikoaudits nach Risikopräventionskatalog, Durchführung interner Audits, u. a.

No. Explanation
IF01

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

As of: 27.05.2020

IF02

Internal evaluation of the received reports

taken quartalsweise

Conference committee

Conference frequency: quartalsweise

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea