Dealing with risks in patient care
Quality management
Carina Decker
Qualitätsmanagementbeauftragte
Klinikweg 1-5
66539 Neunkirchen
Phone:
06821
-363-2838
Mail:
ed.suahneiram@rekced.anirac
QM Standort St. Wendel-Ottweiler
Conference frequency: bei Bedarf
Risk management
Ernst Konrad
Patientensicherheitsverantwortlicher
Klinikweg 1-5
66539 Neunkirchen
Phone:
06821
-363-2992
Mail:
ed.suahneiram@darnok.tsnre
Krankenhausdirektorium (Patientensicherheitsverantwortliche, Ärztl. Direktor, Pflegedirektorin) Qualitätsmanagement
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (01.09.2020) |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch (01.09.2020) |
| RM05 |
Pain management Qualitätsmanagementhandbuch (01.09.2020) |
| RM06 |
Fall prophylaxis Qualitätsmanagementhandbuch (01.09.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagementhandbuch (01.09.2020) |
| RM08 |
Regulated handling of custodial measures Qualitätsmanagementhandbuch (01.09.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch (01.09.2020) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss Qualitätsmanagementhandbuch (01.09.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagementhandbuch (01.09.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagementhandbuch (01.09.2020) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagementhandbuch (01.09.2020) |
| RM18 |
Discharge management Qualitätsmanagementhandbuch (01.10.2020) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
WHO-Checkliste, Patientenidentifikationsarmband, CIRS Meldungen, Never Events und andere Eingaben
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.09.2020 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |