Dealing with risks in patient care
Quality management
David Schulze
Qualitätsmanagementbeauftragter
Senator-Braun-Allee 33
31135 Hildesheim
Phone:
05121
-894-1337
Mail:
ed.tiehdnuseg-soileh@ezluhcs.divad
Klinikgeschäftsführer; Pflegedienstleitung; Qualitätsmanagementbeauftragter; Abteilungsleiter des Klinikums, Krankenhaushygiene; bei Bedarf werden die Themen in der Chefarztkonferenz ebenfalls platziert
Conference frequency: andere Frequenz
Risk management
David Schulze
Qualitätsmanagementbeauftragter
Phone:
05121
-894-1337
Fax: 05121-894-3245
Mail:
ed.tiehdnuseg-soileh@ezluhcs.divad
Klinikgeschäftsführer; Pflegedienstleitung; Qualitätsmanagementbeauftragter; Abteilungsleiter des Klinikums, Krankenhaushygiene; bei Bedarf werden die Themen in der Chefarztkonferenz ebenfalls platziert
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Handbuch Helios Klinikum Hildesheim (01.01.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021) |
| RM08 |
Regulated handling of custodial measures Handbuch Helios Klinikum Hildesheim (01.01.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care Handbuch Helios Klinikum Hildesheim (01.01.2023) |
| RM18 |
Discharge management Handbuch Helios Klinikum Hildesheim (01.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einführung von Patientenarmbändern, OP-Checklisten usw.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.01.2021 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |