Dealing with risks in patient care
Quality management
Dipl.Betriebswirtin, M.A. Marika Hesse
Referentin GF, Marketing, Qualitätsmanagement
Humboldtdtraße 31
06618 Naumburg
Phone:
03445
-210-1002
Mail:
ed.hrs@esseh.akiram
Qualitäts- und Patientensicherheitsteam - QPS-Team (Qualitätsmanager, Klinikleitung, ärztlicher Dienst, Pflegedienst, Betriebsrat und Krankenpflegeschule)
Conference frequency: monatlich
Risk management
Marika Hesse
Referentin GF, Marketing, Qualitätsmanagement
Humboldtstraße 31
06618 Naumburg
Phone:
03445
-210-1002
Fax: 03445-210-1009
Mail:
ed.hrs@esseh.akiram
Qualitäts- und Patientensicherheitsteam - QPS-Team (Qualitätsmanager, Klinikleitung, ärztlicher Dienst, Pflegedienst, Betriebsrat und Krankenpflegeschule)
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available elektronisches QM-Handbuch (25.10.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Standardisierte Vorgehensweise bei hausinternen Notfällen vom (14.05.2021) |
| RM05 |
Pain management Schmerzmanagement in der Pflege und Schmerztherapie (25.10.2021) |
| RM06 |
Fall prophylaxis elektronisches QM-Handbuch (25.10.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) elektronisches QM-Handbuch (25.10.2021) |
| RM08 |
Regulated handling of custodial measures elektronisches QM-Handbuch (25.10.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices DA Umgang mit Medizinprodukten (19.12.2021) |
| 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 elektronisches QM-Handbuch (25.10.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings elektronisches QM-Handbuch (25.10.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups DA Umgang mit Patientenarmbändern (24.04.2021) |
| RM17 |
Standards for recovery and postoperative care elektronisches QM-Handbuch (25.10.2021) |
| RM18 |
Discharge management elektronisches QM-Handbuch (25.10.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Erstellung eines Konzepts zum RisikomanagementErarbeitung eines Risikokatalogs
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 25.10.2021 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |