Dealing with risks in patient care

Quality management

Heike Brost

Stv. Pflegedienstleitung, QM- Steuerungsgruppe

Tangstedter Landstr. 111
22415 Hamburg

Phone: 040 -67377-298
Mail: ed.tfitsmlehliw-hkk@tsorb.h

externe Berater, Direktorium, internes QM

Conference frequency: monatlich

Risk management

Heike Brost

Stv. Pflegedienstleitung, QM- Steuerungsgruppe

Tangstedter Landstraße 111
22415 Hamburg

Phone: 040 -67377-298
Mail: ed.tfitsmlehliw-hkk@tsorb.h

Ja, es gibt eine zentrale Arbeitsgruppe in Form eines Lenkungsgremiums bzw. einer Steuergruppe, die sich regelmäßig zum Thema austauscht.

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

umfassendes QM- Handbuch (01.02.2021)

RM04

Clinical emergency management

umfassendes QM- Handbuch (01.02.2021)

RM05

Pain management

umfassendes QM- Handbuch (01.02.2021)

RM06

Fall prophylaxis

umfassendes QM- Handbuch (01.02.2021)

RM08

Regulated handling of custodial measures

umfassendes QM- Handbuch (01.02.2021)

RM09

Regulated handling of occurring malfunctions of devices

umfassendes QM- Handbuch (01.02.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

umfassendes QM- Handbuch (01.02.2021)

Fault reporting systems

Conference committee

Conference frequency: halbjährlich

Measures

neue Maßnahmen zur Patientenidentifikation wurden geschaffen

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 25.01.2020

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: