Dealing with risks in patient care

Quality management

M.A. Christina Fung

Abteilung für Qualitätsmanagement und Organisationsentwicklung

Franziskusstr. 6
49393 Lohne

Phone: 04441 -99-1050
Mail: ed.gnutfits-ses@gnuf.anitsirhc

erweitertes Direktorium

Conference frequency: halbjährlich

Risk management

Christina Fung

Abteilung für Qualitätsmanagement und Organisationsentwicklung

Franziskustr. 6
49393 Lohne

Phone: 04441 -99-1050
Mail: ed.gnutfits-ses@gnuf.anitsirhc

erweitertes Direktorium

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

Management-Handbuch (18.09.2025)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Management-Handbuch (18.09.2025)

RM05

Pain management

Management-Handbuch (18.09.2025)

RM06

Fall prophylaxis

Management-Handbuch (18.09.2025)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Management-Handbuch (18.09.2025)

RM08

Regulated handling of custodial measures

Management-Handbuch (18.09.2025)

RM09

Regulated handling of occurring malfunctions of devices

Management-Handbuch (18.09.2025)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Mortalitäts- und Morbiditätskonferenzen
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

Management-Handbuch (18.09.2025)

RM15

Preoperative, complete presentation of necessary findings

Management-Handbuch (18.09.2025)

RM16

Procedure to avoid procedural and patient mix-ups

Management-Handbuch (18.09.2025)

RM17

Standards for recovery and postoperative care

Management-Handbuch (18.09.2025)

RM18

Discharge management

Management-Handbuch (18.09.2025)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Dokumentation im Maßnahmenplan

No. Explanation
IF01

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

As of: 09.01.2024

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: andere Frequenz

No. Explanation
EF03

KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)