Dealing with risks in patient care
Quality management
Monika Dohn-Hofmann
Qualitätsmanagementbeauftragte
Kreuznacher Straße 7-9
55232 Alzey
Phone:
06731
-407-147
Mail:
ed.yezla-hk-krd@nnamfoh-nhod.akinom
leitende Mitarbeiter aus verschiedenen Abteilungen
Conference frequency: andere Frequenz
Risk management
Monika Dohn-Hofmann
Qualitätsmanagementbeauftragte
Phone:
06731
-407-147
Fax: 06731-407-210
Mail:
ed.yezla-hk-krd@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. 2 vom 16.09.2019; (17.11.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Arbeitsanweisung Notfallmanagement (10.11.2021) |
| RM05 |
Pain management z.B. SOP Therapie akute Schmerzen auf Normalstation (10.11.2020) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Umgang mit Stürzen (09.07.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (25.05.2021) |
| RM08 |
Regulated handling of custodial measures Richtlinie freiheitsentziehende Maßnahme (15.02.2022) |
| 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. PS CH zementierte Knie-TEP (21.07.2021) |
| RM18 |
Discharge management Pflegestandard Entlassung, Verlegung (05.11.2020) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
z.B. Gründung einer Arbeitsgruppe AMTS, Aktualisierung/Erstellung z.B. SOP "Transport überwachungspflichtige Patienten", Arbeitsanweisung "Umgang bei Eigen- und Fremdgefährdung"
| 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, National Association of Statutory Health Insurance Doctors) |