Dealing with risks in patient care

Quality management

Roswitha Gross

QMB

Aufderhöher Straße 169
42699 Solingen

Phone: 0212 -63-6622
Mail: ed.neinahteb-kinilk@ssorG.ahtiwsoR

ÄD, PD, VWD

Conference frequency: monatlich

Risk management

Kai Goetze

Geschäftsführer

Aufderhöher Straße 169
42699 Solingen

Phone: 0212 -63-6021
Fax: 0212-63-6023
Mail: ed.neinahteb-kinilk@ikswodnawel.anna

Kai Goetze

Geschäftsführer

Aufderhöher Straße 169
42699 Solingen

Phone: 0212 -63-6021
Fax: 0212-63-6023
Mail: ed.neinahteb-kinilk@ikswodnawel.anna

ÄD, PD, VWD

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Verfahrensanweisung Risikomanagement (15.01.2018)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Verfahrensanweisung Risikomanagement (15.01.2018)

RM05

Pain management

Verfahrensanweisung Risikomanagement (15.01.2018)

RM06

Fall prophylaxis

Verfahrensanweisung Risikomanagement (15.01.2018)

RM07

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

Verfahrensanweisung Risikomanagement (15.01.2018)

RM08

Regulated handling of custodial measures

Verfahrensanweisung Risikomanagement (15.01.2018)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensanweisung Risikomanagement (15.01.2018)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Verfahrensanweisung Risikomanagement (15.01.2018)

RM18

Discharge management

Verfahrensanweisung Risikomanagement (15.01.2018)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

CIRS-Konzept

No. Explanation
IF01

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

As of: 15.01.2018

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 jährlich

Conference committee

Conference frequency: monatlich

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea