Dealing with risks in patient care
Quality management
Franz Josef Bruch
Qualitätsmanagementbeauftragter
Wiedenbrücker Straße 33
59555 Lippstadt
Phone:
02941
-671105-
Mail:
ed.suahneknark-ve@hcurb
Geschäftsführung, ärztlicher Direktor , Qualitätsmanagement, Pflegedirektion, Referentin der Krankenhausbetriebsleitung
Conference frequency: monatlich
Risk management
Franz Josef Bruch
Qualitätsmanagementbeauftragter
59525 Lippstadt
Phone:
02941
-671105-
Mail:
ed.suahneknark-ve@hcurb
Geschäftsführung, ärztlicher Direktor , Qualitätsmanagement, Pflegedirektion, Referentin der Krankenhausbetriebsleitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management SOP (01.06.2022) |
| RM05 |
Pain management SOP (01.06.2022) |
| RM06 |
Fall prophylaxis Expertenstandard (01.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard (01.04.2022) |
| RM08 |
Regulated handling of custodial measures SOP (07.11.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices MPG Handbuch (11.04.2022) |
| 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 SOP (23.05.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP Sicherheitscheckliste (23.05.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP (23.05.2022) |
| RM17 |
Standards for recovery and postoperative care OP Sicherheitscheckliste (23.05.2022) |
| RM18 |
Discharge management Expertenstandard (14.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
CIRS Fallkonferenzen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2018 |
| 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:
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |