Dealing with risks in patient care
Quality management
Dr. Petra Gurn
Qualitätsmanagerin
Gröpelinger Heerstr. 406
28239 Bremen
Phone:
0421
-6102-3003
Mail:
ed.nemerb-okaid@mq
Dr. Annemarie Dunger
Qualitätsmanagerin
Gröpelinger Heerstr. 406
28239 Bremen
Phone:
0421
-6102-3003
Mail:
ed.nemerb-okaid@regnud.a
Dem zentralen QM-Lenkungsausschuss gehören 11 ständige Mitglieder der Säulen Medizin, Pflege Ökonomie an. Vertreten sind GF, CÄ, PDL, QM, IT, Hygiene, Pflege, Sozialdienst, MAV, Klinisches Ethik-Komitee.
Conference frequency: halbjährlich
Risk management
Annemarie Dunger
Qualitätsmanagerin
28239 Bremen
Phone:
0421
-6102-3003
Fax: 0421-6102-3509
Mail:
ed.nemerb-okaid@regnud.a
Petra Gurn
Qualitätsmanagerin
28239 Bremen
Phone:
0421
-6102-3003
Fax: 0421-6102-3509
Mail:
ed.nemerb-okaid@nrug.p
Dem zentralen QM-Lenkungsausschuss gehören 11 ständige Mitglieder der Säulen Medizin, Pflege Ökonomie an. Vertreten sind GF, CÄ, PDL, QM, IT, Hygiene, Pflege, Sozialdienst, MAV, Klinisches Ethik-Komitee.
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement (14.08.2023) |
| RM05 |
Pain management Schmerzmanagement (01.03.2023) |
| RM06 |
Fall prophylaxis 09 Sturzprophylaxe (24.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) 01 Dekubitusprophylaxe (23.11.2022) |
| RM08 |
Regulated handling of custodial measures Umgang mit freiheitsentziehenden Maßnahmen (31.03.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (21.09.2021) |
| 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 Team Time Out (31.01.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Team Time Out (31.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vermeidung von Patientenverwechslungen (08.04.2021) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanweisung Aufwachraum (04.10.2021) |
| RM18 |
Discharge management Entlassungsmanagement (23.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Die Ergebnisse des einrichtungsinternen Fehlermeldesystems werden in Quartals- bzw. im Jahresbericht zusammengefasst den Mitarbeitern zur Verfügung gestellt.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.04.2021 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |