Dealing with risks in patient care
Quality management
Karin Otto
Leitung Qualitätsmanagement/Klinisches Risikomanagement
Alfredstraße 9
22087 Hamburg
Phone:
040
-2546-1266
Mail:
gro.suahneknarkneiram@mq.otto
Themen, die das Qualitäts- und Klinische Risikomanagement betreffen, werden in regelmäßige Treffen zwischen Mitgliedern der Krankenhausleitung und den Mitarbeitern des Zentralen Qualitäts- und Klinischen Risikomanagements besprochen. Bei Bedarf werden themenbezogen andere Mitarbeiter hinzugezogen.
Conference frequency: andere Frequenz
Risk management
Karin Otto
Leitung Qualitätsmanagement/Klinisches Risikomanagement
Phone:
040
-2546-1266
Mail:
gro.suahneknarkneiram@mq.otto
AG Klin. Risikomanagement, bestehend aus Hygienefachkraft, Arzt, QM/Klin. Risikomanagement, MAV Weitere Experten werden themenbezogen hinzugezogen
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM05 |
Pain management Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM06 |
Fall prophylaxis Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM08 |
Regulated handling of custodial measures Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| 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 Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM17 |
Standards for recovery and postoperative care Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
| RM18 |
Discharge management Organisationshandbuch MK (online Version). Fortlaufende Aktualiserung. (30.08.2023) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Erstellung, Veröffentlichung und Aktualisierung von Dokumenten zur Bewältigung der CoV-19- Pandemie in enger Kooperation mit der Krankenhaushygiene
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.02.2023 |
| 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 jährlich |
Conference committee
Conference frequency: jährlich
| 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) |