Dealing with risks in patient care
Quality management
Frau Anja Hermes
Pflegedienstleitung/RM/QMB
Moorkamp 2-6
20357 Hamburg
Phone:
040
-44190-0
Mail:
ed.grubmah-melasurej@ldp
OP, Anästhesie, stat. Pflege und QM bilden das ständige Gremium, zusätzliche Bereiche werden nach Bedarf involviert. Pandemiebedingte Abweichung!
Conference frequency: quartalsweise
Risk management
Anja Hermes
Pflegedienstleitung/RM/QMB
Moorkamp 2-6
20357 Hamburg
Phone:
040
-44190-0
Mail:
ed.grubmah-melasurej@ldp
OP, Anästhesie, stat. Pflege und QM bilden das ständige Gremium, zusätzliche Bereiche werden nach Bedarf involviert. Pandemiebedingte Abweichung!
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available A. Hermes (17.01.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management A. Hermes (19.09.2023) |
| RM05 |
Pain management A.Hermes (19.05.2022) |
| RM06 |
Fall prophylaxis A. Hermes (05.09.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) A. Hermes (17.01.2023) |
| RM08 |
Regulated handling of custodial measures A. Hermes (01.09.2022) |
| 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 A. Hermes (01.09.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings A. Hermes (01.09.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups A.Hermes (01.09.2022) |
| RM17 |
Standards for recovery and postoperative care A. Hermes (22.08.2022) |
| RM18 |
Discharge management A. Hermes (01.09.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Auf Grund der geringen Anzahl von Meldungen kann keine aussagekräftige Bewertung stattfinden.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 17.01.2023 |
Conference committee
Conference frequency: