Dealing with risks in patient care
Quality management
Sina Schenk
Qualitätsmanagement
Schönsteinstr. 63
50825 Köln Ehrenfeld
Phone:
0221
-5591-4198
Mail:
ed.nennitillec@knehcs.anis
QM / Pflegedirektion / kaufmännische Direktion
Conference frequency: andere Frequenz
Risk management
Sina Schenk
Qualitätsmanagement
Schönsteinstr. 63
50825 Köln Ehrenfeld
Phone:
0221
-5591-4198
Fax: 0221-5591-1022
Mail:
ed.nennitillec@knehcs.anis
QM / Pflegedirektion / Chefärztin Radiologie / Zentrale Praxisanleitung / Ärztliche Leitung der Zentralen Notaufnahme
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Handbuch (27.06.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM Handbuch (27.06.2023) |
| RM05 |
Pain management QM Handbuch (27.06.2023) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Sturzprophylaxe (23.12.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM Handbuch (08.04.2022) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung zur Fixierung von Patienten (11.10.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Handbuch (27.06.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss QM Handbuch (27.06.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings QM Handbuch (27.06.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Risikoarbeitsblatt zur Patientenverwechslung, Verfahrensanweisungen zur Vermeidung von Patientenverwechslung, Verfahrensanweisung zum Umgang mit Patientenidentifikationsarmbändern (10.03.2022) |
| RM17 |
Standards for recovery and postoperative care QM Handbuch (27.06.2023) |
| RM18 |
Discharge management QM Handbuch (27.06.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Patientenarmband WHO-Checkliste, Seitenmarkierung Risikoaudit, Manchester Triage, etc.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.08.2022 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| 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 |