Dealing with risks in patient care
Quality management
Herr Alexander Frank
Leitung Qualitätsmanagement
Seilersgründchen 8
96465 Neustadt bei Coburg
Phone:
09561
-22-7430
Mail:
ed.nekinilk-demoiger@knarf.rednaxela
Geschäftsführung, PDL, Ärztlicher Dienst, Betriebsrat, Personalabteilung
Conference frequency: quartalsweise
Risk management
Alexander Frank
Leitung Qualitätsmanagement
Phone:
09561
-22-7430
Fax: 09561-973329-9019
Mail:
ed.nekinilk-demoiger@knarf.rednaxela
Geschäftsführung, PDL, Ärztlicher Dienst, Betriebsrat, Personalabteilung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualido (31.12.2018) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Qualido (31.12.2018) |
| RM05 |
Pain management Qualido (31.12.2018) |
| RM06 |
Fall prophylaxis Qualido (31.12.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dokumeldeprotokoll (31.12.2018) |
| RM08 |
Regulated handling of custodial measures Qualido (31.12.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualido (31.12.2018) |
| 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 Qualido (31.12.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings siehe OP-Checkliste (31.12.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualido (31.12.2018) |
| RM17 |
Standards for recovery and postoperative care Qualido (31.12.2018) |
| RM18 |
Discharge management Qualido (31.12.2018) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Zählkontrollen im OP, Patientenidentifikationsschema OP
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2018 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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 |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |