Dealing with risks in patient care
Quality management
Kerstin Schröder
Qualitätsmanagementbeauftragte
Johannes-Ritter-Straße 100
21502 Geesthacht
Phone:
04152
-918-128
Mail:
ed.tiehdnuseg-demav@redeorhcs.nitsrek
Leitung Therapie, Pflegedirektorin, QMBs
Conference frequency: monatlich
Risk management
Kerstin Schröder
Risikomanagement
Phone:
04152
-918-128
Fax: 04152-918-239
Mail:
ed.tiehdnuseg-demav@redeorhcs.nitsrek
Leitung Therapie, Pflegedirektorin, QMBs
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen - https://md-bund.de/themen/pflegequalitaet/expertenstandards-in-der-pflege.html (01.06.2022) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe des Deutsches Netzwerk für Qualitätsentwicklung in der Pflege - https://www.dnqp.de/fileadmin/HSOS/Homepages/DNQP/Dateien/Expertenstandards/Sturzprophylaxe_in_der_Pflege/Sturz_2Akt_Auszug.pdf (01.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe - https://www.dnqp.de/expertenstandards-und-auditinstrumente/ (01.06.2017) |
| RM08 |
Regulated handling of custodial measures Konzernregelung und Checkliste Freiheitsentziehende Maßnahmen (12.03.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (01.06.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit, A 0.0.14_Umgang mit Patienteneigentum, Letzte Aktualisierung: 17.07.2024, PB 0.0.197_Patientenidentifikationsarmband, Letzte Aktualisierung 05.12.2023, DS-019_Einwilligung in das Tragen eines Patientenidentifikationsarmbandes, Letzte Aktualisierung 16.01.2024 (27.01.2022) |
| RM18 |
Discharge management PB0.0175_Entlassmanagement (24.07.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Beispiel: Hygienemaßnahmen, Aufnahmemanagement, Brandschutz
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.01.2024 |
| 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 monatlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |