Dealing with risks in patient care
Quality management
Karin Rumke
Leitung Qualitätsmanagement; Klinisches Risikomanagement
Süntelstraße 11a
22457 Hamburg
Phone:
040
-5588-6765
Mail:
ed.nenitreblaleunammi@ekmur.nirak
Direktorium (GF, ÄD, PD), QM
Conference frequency: quartalsweise
Risk management
Karin Rumke
Leitung Qualitätsmanagement; Klinisches Risikomanagement
Phone:
040
-5588-6765
Mail:
ed.nenitreblaleunammi@ekmur.nirak
Direktorium (GF, ÄD, PD), QM
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-/RM-Dokumentation (27.11.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Innerklinisches Notfallmanagement (15.04.2024) |
| RM05 |
Pain management Schmerzmanagement im AKH/AH (11.06.2024) |
| RM06 |
Fall prophylaxis VA Sturzprophylaxe Pflege (03.01.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (03.01.2025) |
| RM08 |
Regulated handling of custodial measures Teil der QM/RM-Dokumentation (gemäß RM01) (19.08.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices MT VA Störmeldung (19.08.2024) |
| 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 VA Anwendung OP Sicherheitscheckliste (01.12.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings VA Anwendung OP-Sicherheitscheckliste (01.12.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vermeidung einer Eingriffsverwechslung (22.05.2024) |
| RM17 |
Standards for recovery and postoperative care VA Anwendung OP-Sicherheitscheckliste (01.12.2023) |
| RM18 |
Discharge management Entlassmanagement (18.04.2024) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Maßnahmen zur sicheren Patientenidentifikation; Optimierung innerklinischer Prozesse; Anpassung OP-Sicherheitscheckliste; Durchführung von Risikoanalysen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 19.08.2024 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
|
Other |