Dealing with risks in patient care
Quality management
Daniela Thate
Medizincontrolling, Externe Stationäre Qualitätssicherung
August-Bebel-Straße 55a
39288 Burg
Phone:
03921
-96-1070
Mail:
ed.tiehdnuseg-soileh@etahT.aleinaD
Daniela Thate
Medizincontrolling, Externe Stationäre Qualitätssicherung
August-Bebel-Straße 55a
39288 Burg
Phone:
03921
-96-1070
Mail:
ed.tiehdnuseg-soileh@etahT.aleinaD
Zentraler Dienst Medizin, Klinikleiter, ärztlicher Dienst, pflegerischer Dienst, Medizincontrolling, Unternehmenskommunikation und ggf. weitere
Conference frequency: bei Bedarf
Risk management
Philip Haselmeyer
CIRS-Verantwortlicher
Phone:
03921
-96-1900
Mail:
ed.tiehdnuseg-soileh@reyemlesaH.pilihP
Krankenhausleitung, interdisziplinäre berufsgruppenübergreifende CIRS-Bearbeitungsgruppe, in Zusammenarbeit mit dem HELIOS Zentralen Dienst Risikomanagement und Versicherungen
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (27.09.2017) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.02.2017) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (10.09.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| 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 Konzernregelung OP-Sicherheit (17.09.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (17.09.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (17.09.2021) |
| RM17 |
Standards for recovery and postoperative care NEWS vor Verlegung (02.03.2017) |
| RM18 |
Discharge management Ablauforganisation Entlassmanagement Version 01 (01.10.2017) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
bisher noch kein Handlungsbedarf
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.01.2017 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: monatlich
| No. | Explanation |
|---|---|
|
Other |