Dealing with risks in patient care
Quality management
Stefan Lorscheter
Qualitätsmanagementbeauftragter der Elisabeth-Stiftung
Walter-Bleicker-Platz 1
55765 Birkenfeld
Phone:
06782
-18-6030
Mail:
gro.b-s-e@bmq
Vorstand und Qualitätsmanagementbeauftragter
Conference frequency: monatlich
Risk management
Asim Akkaya
Ärztlicher Direktor / Chefarzt Innere Abteilung
Walter-Bleicker-Platz 1
55765 Birkenfeld
Phone:
06782
-18-1250
Mail:
gro.b-s-e@ayakka.a
Krankenhausdirektion im Rahmen des Krankenhausausschusses
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available AA KH-020 interne & externe stationäre Qualitätssicherung (10.06.2008) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Alarmierung bei einem medizinischen Notfall in der Elisabeth-Stiftung (20.10.2020) |
| RM05 |
Pain management PST KH-65 Schmerzmanagement in der Pflege (13.07.2023) |
| RM06 |
Fall prophylaxis PST KH-002 Sturzprophylaxe (26.04.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) PST KH-005 Decubitalulcera (18.02.2023) |
| RM08 |
Regulated handling of custodial measures FO KH-094 Freiheitsentziehende Maßnahmen (05.03.2017) |
| RM09 |
Regulated handling of occurring malfunctions of devices AA ES-009 Organisationshandbuch Medizintechnik (17.07.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA KH-002 Patientenidentifikation und Vermeidung von Eingriffsverwechslungen (19.11.2008) |
| RM17 |
Standards for recovery and postoperative care Beispiel: AA KH-254 Patient in der Aufwachphase (01.12.2023) |
| RM18 |
Discharge management PST KH-106 Entlassmanagement (01.07.2023) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Patientenakte in EDV gestützter Form, Überarbeitung Organisationsablauf ZNA
| No. | Explanation |
|---|---|
| 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 |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |