Dealing with risks in patient care

Quality management

Susanne Jost

Geschäftsführerin

Feldgärtenstraße 97
50735 Köln

Phone: 0221 -7175-1110
Mail: ed.suahneknark-ahtaga-ts@tsoj

Stabstelle Qualitäts-, Risiko- und Hygienemanagement, Ärztlicher Dienst, Pflegedienst, Verwaltung, Technik

Conference frequency: monatlich

Risk management

Susanne Jost

Geschäftsführerin

Phone: 0221 -7175-1110
Fax: 0221-7175-1119
Mail: ed.suahneknark-ahtaga-ts@tsoj

Stabstelle Qualitäts-, Risiko- und Hygienemanagement, Ärztlicher Dienst, Pflegedienst, Verwaltung, Technik

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Kontinuierliche Fortschreibung (12.10.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Kontinuierliche Fortschreibung (12.10.2022)

RM05

Pain management

Kontinuierliche Fortschreibung (12.10.2022)

RM06

Fall prophylaxis

Kontinuierliche Fortschreibung (12.10.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Kontinuierliche Fortschreibung (12.10.2022)

RM08

Regulated handling of custodial measures

Kontinuierliche Fortschreibung (12.10.2022)

RM09

Regulated handling of occurring malfunctions of devices

Kontinuierliche Fortschreibung (12.10.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
RM18

Discharge management

Kontinuierliche Fortschreibung (12.10.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

siehe Qualitätsmanagement / Projekte, diverse Audits und interne Begehungen zum Arbeits- und Patientenschutz. Kontinuierliche Bearbeitung einer Risikomatrix mit Analyse, Bewertung und Handlungsempfehlungen.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 12.12.2002

IF02

Internal evaluation of the received reports

taken monatlich

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: