Dealing with risks in patient care

Quality management

Frau Saskia Melodie Jakubowski

Leitung Qualitäts- und Risikomanagement

Martha-von-Opel-Weg 34
65307 Bad Schwalbach

Phone: 0611 -177-1118
Mail: ed.ohoj@ikswobukajs

QRM-Team

Conference frequency: monatlich

Risk management

Saskia Melodie Jakubowski

Leitung Qualitäts- und Risikomanagement

Phone: 0611 -177-1118
Fax: 0611-177-1156
Mail: ed.ohoj@ikswobukajs

QRM-Team CIRS-Team

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QMH Konzept zum klinischen Risikomanagement (09.06.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Verfahrensanweisung (01.12.2023)

RM05

Pain management

Expertenstandard Schmerzmanagement (01.06.2022)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe (01.06.2022)

RM07

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

Expertenstandard Dekubitusprophylaxe (01.06.2022)

RM08

Regulated handling of custodial measures

Verfahrensanweisung (09.06.2020)

RM09

Regulated handling of occurring malfunctions of devices

Dienstanweisung (27.04.2017)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Blitzlichtbesprechung
  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Verfahrensanweisung (31.10.2018)

RM18

Discharge management

Verfahrensanweisung (11.09.2019)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Nutzung eines internen CIRS mit Ableitung von konkreten Maßnahmen zur Verbesserung der Mitarbeiter- und Patientensicherheit und der Prozessabläufe

No. Explanation
IF01

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

As of: 12.01.2022

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

Other