Dealing with risks in patient care
Quality management
Etz Jacqueline
Qualitätsmanagement, CIRS und Risikomanagement
Geisenheimer Straße 10
65197 Wiesbaden
Phone:
0611
-847-2567
Mail:
moc.soipelksa@zte.j
Carolin Zumdick
Qualitätsmanagement, CIRS und Risikomanagement
Geisenheimer Straße 10
65197 Wiesbaden
Phone:
0611
-847-2017
Mail:
moc.soipelksa@kcidmuz.c
Betriebsleitung bestehend aus Geschäftsführer, ärztlicher Direktor und Pflegedienstleitung, bei Bedarf inkl. Qualitätsmanager
Conference frequency: monatlich
Risk management
Etz Jacqueline
Qualitätsmanagement, CIRS und Risikomanagement
Geisenheimer Straße 10
65197 Wiesbaden
Phone:
0611
-847-2567
Fax: 0611-847-2028
Mail:
moc.soipelksa@zte.j
Carolin Zumdick
Qualitätsmanagement, CIRS und Risikomanagement
Geisenheimer Straße 10
65197 Wiesbaden
Phone:
0611
-847-2017
Fax: 0611-847-2028
Mail:
moc.soipelksa@kcidmuz.c
Geschäftsführer, Klinikmanager, Qualitätsmanager und Risikobeauftragte
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzernweite einheitliche Prozessbeschreibungen (28.08.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallalgorithmus (10.05.2022) |
| RM05 |
Pain management QUIPS (19.02.2018) |
| RM06 |
Fall prophylaxis Expertenstandard Sturz und Sturzprophylaxe (06.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus/Wundmanagement (06.09.2021) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung zum Umgang mit Freiheitsentziehende Maßnahmen (12.07.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices MA Ltg. Medizintechnik, Prozessbeschreibungen (Organisationshandbuch) und Meldeformular (14.10.2019) |
| 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 Konzern Sicherheitscheckliste OP (20.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Prämedikationsstandard (21.01.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Checkliste nach WHO / Vermeidung einer Eingriffsverwechslung (28.08.2023) |
| RM17 |
Standards for recovery and postoperative care SOP (27.08.2020) |
| RM18 |
Discharge management Konzernweite Verfahrensanweisung Entlassungsmanagement (11.06.2021) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
X
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.05.2022 |
| 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 quartalsweise |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |