Herz-Kreislauf-Zentrum Klinikum Hersfeld-Rotenburg GmbH
Dealing with risks in patient care
Quality management
Manja Mohr
Qualitätsmanagement
Heinz-Meise-Straße 100
36199 Rotenburg a. d. Fulda
Phone: 06623-88-6221
Mail: ed.grubnetor-zkh@bmq
Ärztlicher Dienst / Pflegedienst / Therapeutischer Dienst / Verwaltung / Service
Conference frequency: quartalsweise
Risk management
Ärztlicher Dienst / Pflegedienst / Therapeutischer Dienst / Verwaltung / Service
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available OP-Checkliste (03.05.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallregelung beim Herzalarm (22.09.2020) |
| RM06 |
Fall prophylaxis Umsetzung Expertenstandard Sturz (27.05.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (15.07.2020) |
| RM08 |
Regulated handling of custodial measures Umgang mit Zwangsmaßnahmen - Fixierung von Patienten (18.12.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationsrichtlinie (Handbuch) für die Umsetzung des Medizinproduktegesetzes (MPG) und der Medizinprodukte-Betreiberverordnung (MPBetreibV) (30.07.2018) |
| 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-Checkliste (03.05.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste (03.05.2020) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch Anästhesie / Intensivmedizin (26.06.2019) |
| RM18 |
Discharge management Entlassmanagement (02.08.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Mitarbeiterschulung im Umgang mit Patienten-ID-Armband
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 18.03.2015 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: