Dealing with risks in patient care

Quality management

Philipp Silwedel

Leitung Akademie / IMS

Marie - Curie - Straße 12
51377 Leverkusen

Phone: 02171 -7272-347
Fax: 02171-7272-349
Mail: ed.darG063deM@ledewliS.ppilihP

Alle Abteilungsleitungen und der Betriebsrat im Rahmen der regelmäßig stattfindenden Besprechungsrunden

Conference frequency: andere Frequenz

Risk management

Philipp Silwedel

Leitung Akademie / IMS

Marie - Curie - Straße 12
51377 Leverkusen

Phone: 02171 -7272-347
Fax: 02171-7272-349
Mail: ed.darG063deM@ledewliS.ppilihP

Alle Abteilungsleitungen und der Betriebsrat im Rahmen der regelmäßig stattfindenden Besprechungsrunden

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Notfallmanagement (AA) (28.04.2021)

RM05

Pain management

Schmerzmanagement (AA) (19.10.2023)

RM06

Fall prophylaxis

Sturzmanagement (AA) (19.10.2023)

RM07

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

Dekubitusmanagement (AA) (19.10.2023)

RM09

Regulated handling of occurring malfunctions of devices

Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (13.03.2018)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Früh- und Spätbesprechung
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

Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023)

RM15

Preoperative, complete presentation of necessary findings

Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023)

RM16

Procedure to avoid procedural and patient mix-ups

Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023)

RM17

Standards for recovery and postoperative care

Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023)

RM18

Discharge management

Entlassungsmanagement (AA) (17.02.2022)

Fault reporting systems

Conference committee

Conference frequency: wöchentlich

Measures

Unerwartet Ereignisse werden im Rahmen von wöchentlichen Teamsitzung besprochen und konkrete Maßnahmen wurden umgesetzt.

No. Explanation
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: quartalsweise

No. Explanation
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