Dealing with risks in patient care
Quality management
Inge Mayer
Leitung Zentrales Qualitäts- und Klinisches Risikomanagement
Friedrichstr. 17
76596 Forbach
Phone:
07221
-91-2286
Mail:
ed.nedablettim-mukinilk@reyaM.I
Sabine Martini
Kommissarische Leitung Zentrales Qualitäts- und Klinisches Risikomanagement
Friedrichstr. 17
76596 Forbach
Phone:
07222
-389-2202
Mail:
ed.nedablettim-mukinilk@initraM.S
Geschäftsführung bestehend aus Ärztlicher-, Kaufmännischer- und Pflegerischer Leitung, Vertreter des Betriebsrates, Vertreter des Zentralen Qualitäts- und Klinischem Risikomanagements
Conference frequency: quartalsweise
Risk management
Andreas Eichenauer
Klinikdirektor Rastatt-Forbach ppa./ Querschnittverantwortung Zentrales Qualitäts- und Klinisches Risikomanagement
Phone:
07222
-389-2001
Fax: 07221-389-62001
Mail:
ed.nedablettim-mukinilk@reuanehciE.A
Klinikdirektor, kaufm. Leitung, Pflegedirektion, Zentrales Qualitäts- und Klinisches Risikomanagement, Oberarzt, Leitung Apotheke/ Einkauf, Leitung Hygienefachzentrum.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Handbuch Risikomanagement (10.01.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Kardiopulmonale Reanimation Leitfaden (29.01.2019) |
| RM06 |
Fall prophylaxis Sturzprophylaxe Standard (06.05.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitus (06.05.2021) |
| RM08 |
Regulated handling of custodial measures Formular und VA Fixierung (01.01.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch Medizintechnik (05.11.2020) |
| 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 DA Patientenidentifikation (20.02.2020) |
| RM18 |
Discharge management Multiprofessionelles Entlassmanagement (06.05.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Patientenarmbänder, OP-Checklisten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.02.2022 |
| 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 jährlich |
Conference committee
Conference frequency: