Dealing with risks in patient care
Quality management
Birgit Blumenthal
Leiterin Qualitätsmanagement, Zertifizierte Klinische Risikomangerin
Friedrich-Ebert-Straße 59
56564 Neuwied
Phone:
02631
-82-1907
Mail:
ed.suahneiram@lahtnemulb.tigrib
Es gibt 6 Qualitätszirkel, in denen themenbezogen die erforderlichen Ansprechpartner der jeweiligen Fach- und Funktionsbereiche vertreten sind.
Conference frequency: quartalsweise
Risk management
Birgit Blumenthal
Leiterin Qualitätsmanagement, Zertifizierte Klinische Risikomangerin
Friedrich-Ebert-Straße 59
56564 Neuwied
Phone:
02631
-82-1907
Fax: 02631-82-1594
Mail:
ed.suahneiram@lahtnemulb.tigrib
Im standortübergreifenden Qualitätszirkel CIRS sind Ansprechpartner aller Fachrichtungen vertreten
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch, Risikomanagementkonzept (13.12.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmanagement Neuwied (11.02.2022) |
| RM05 |
Pain management Leitlinien Akutschmerztherapie (21.01.2021) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (05.04.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (16.03.2022) |
| RM08 |
Regulated handling of custodial measures Fixierung und freiheitseinschränkende Maßnahmen in der Somatik (23.11.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung Medizinproduktebetreiberverordnung (16.03.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss OP-Checkliste (19.07.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste (19.07.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenidentifikationsarmband, OP-Checkliste (19.07.2022) |
| RM18 |
Discharge management Entlassungsmanagement (19.01.2022) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Aus unerwünschten Ereignissen werden adäquate Maßnahmen abgeleitet, die eine Wiederholung verhindern.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 20.06.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
|
Other |