Dealing with risks in patient care
Quality management
Anja Henze
Leitung Prozess- und Qualitätsmanagement
Agnes-Karll-Allee 17
25337 Elmshorn
Phone:
04121
-798-9852
Mail:
ed.anas@ezneh.ajna
Leitung Pflege und Klinische Prozesse und Prozess- und Qualitätsmanagement
Conference frequency: monatlich
Risk management
Anja Henze
Leitung Prozess- und Qualitätsmanagement
Agnes-Karll-Allee 17
25337 Elmshorn
Phone:
04121
-798-9852
Mail:
ed.anas@ezneh.ajna
Leitung Pflege und Klinische Prozesse und Prozess- und Qualitätsmanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Verfahrensanweisung: Reanimation (06.07.2023) |
| RM05 |
Pain management SOP: Management Akuter Schmerzen (06.03.2023) |
| RM06 |
Fall prophylaxis Verfahrensanweisung: Sturzprophylaxe (09.11.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung: Dekubitusmanagement Dekubitusprophylaxe (21.10.2022) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung: FEM Freiheitsentziehende Maßnahmen (15.08.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Samba Handbuch (10.10.2023) |
| 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 Verfahrensanweisung: VA-OP-Sicherheit (19.08.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Verfahrensanweisung: VA-OP-Sicherheit (19.08.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung: Umgang mit Patientenidentifikationsarmbändern (02.11.2016) |
| RM17 |
Standards for recovery and postoperative care SOP-Anästhesie-Holding Area-Aufwachraum (06.07.2022) |
| RM18 |
Discharge management Verfahrensanweisung: Entlassmanagement Somatik (24.10.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Anpassung der WLAN-Verfügbarkeiten, Austausch von Geräten, Schulungen durch Key-User, Anpassungen von Prozessen, Umrüstung von Zugangstüren, Beschreibung von Verfahren
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.01.2019 |
| 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 monatlich |
Conference committee
Conference frequency: jährlich
| No. | Explanation |
|---|---|
|
Other |