Dealing with risks in patient care

Quality management

Ina Koch

Qualitätsmanagementbeauftragte

Wielandstraße 28
32545 Bad Oeynhausen

Phone: 05741 -35-472213
Mail: ed.nekinilksierknelheum@hcok.ani

Geschäftsführer*in, Pflegedirektor*in, Pflegedienstleiter*in, Ärztliche*r Direktor*in

Conference frequency: andere Frequenz

Risk management

Ina Koch

Qualitätsmanagementbeauftragte / Healthcare Risk Manager (HRM)

Phone: 05741 -35-472213
Mail: ed.nekinilksierknelheum@hcok.ani

Geschäftsführer*in, Pflegedirektor*in, Pflegedienstleiter*in, Ärztliche*r Direktor*in

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

MKK-VA-(FP-06)-01 Erstellung und Umgang mit QM-Dokumenten (24.05.2018)

RM02

Regular further education and training measures

RM04

Clinical emergency management

BOE-AA-(KP-08)-025 Verhalten in med. Nottallsituationen (28.06.2021)

RM06

Fall prophylaxis

MKK-VA-(KP-17)-002 Sturzprophylaxe (08.03.2023)

RM12

Use of standardised information sheets

RM18

Discharge management

VA-(KP-09)-001 Entlassmanagement (27.06.2019)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Qualitätszirkel, Betriebliches Vorschlagswesen, Systemische Analyse nach einem Behandlungszwischenfall (London Protokoll), Prozessorientierte Risikoidentifikation- und Beurteilung

No. Explanation
IF01

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

As of: 23.09.2013

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: bei Bedarf

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association)