Dealing with risks in patient care
Quality management
Monika Dohn-Hofmann
Qualitäts- und Risikomanagementbeauftragte
Kreuznacher Straße 7-9
55232 Alzey
Phone:
06731
-407-147
Mail:
ed.yezla-hkk@nnamfoh-nhod.akinom
leitende Mitarbeiter aus verschiedenen Abteilungen
Conference frequency: andere Frequenz
Risk management
Monika Dohn-Hofmann
Qualitäts- und Risikomanagementbeauftragte
Phone:
06731
-407-147
Fax: 06731-407-210
Mail:
ed.yezla-hkk@nnamfoh-nhod.akinom
Beschäftigte aus verschiedenen Bereichen und Berufsgruppen
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available "Systemhandbuch Qualitäts- und Risikomanagement der DRK Trägergesellschaft Süd-West mbH" (fortlaufende Aktualisierung der Einzelkapitel und -dokumente, Sonderdruck Gesamtausgabe Vers. 7 vom 17.11.2020); Richtlinie zum Klinischen Risikomanagement Vers. 3 vom 1.12.2022; (17.11.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Medizinisches Notfallmanagement (20.02.2025) |
| RM05 |
Pain management z.B. Akutgeriatrie Schmerzkonzept (30.05.2022) |
| RM06 |
Fall prophylaxis z.B. Sturzprophylaxe Aushang (28.12.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (18.01.2024) |
| RM08 |
Regulated handling of custodial measures Arbeitsanweisung Betreuung und freiheitsentziehende Maßnahmen (16.05.2025) |
| RM09 |
Regulated handling of occurring malfunctions of devices Medizintechnik Organisationshandbuch (11.10.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP Vermeidung von Eingriffsverwechslungen (20.01.2020) |
| RM17 |
Standards for recovery and postoperative care Pflegestandards, z. B. SOP CH Knie-TEP und Schlittenprothese (11.04.2024) |
| RM18 |
Discharge management Pflegestandard Entlassung, Verlegung (Expertenstandard) (27.12.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
z.B. Aktualisierung Team Time out-Checkliste, Anpassung Prozesse im Röntgen, Anschaffung weiteres EKG-Gerät, u.a.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 02.10.2022 |
| 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 |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association) |