Dealing with risks in patient care
Quality management
Dr. Tobias Falke
Qualitätsmanagement
Marsbruchstrasse 162a
44287 Dortmund
Phone:
0231
-913019-518
Mail:
gro.lwl@eklaf.saibot
QMB, Ärztliche Leitung, Pflegedienstleitung, Kaufmännische Leitung, Oberärzt:innen, Stationsleitungen, Therapeutensprecher:in, Fachtherapeutensprecher:in, Personalratsmitglied
Conference frequency: monatlich
Risk management
Tobias Falke
Qualitätsmanagement
Marsbruchstrasse 162a
44287 Dortmund
Phone:
0231
-913019-518
Mail:
gro.lwl@eklaf.saibot
QMB, Stationsleitung Akutstation, Ambulanzärztin, Sicherheitsbeauftragter, Personalratsmitglied, Fachkraft für Arbeitssicherheit
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagement-Konzept (2021-06-10) Konzept Klinisches Risikomanagement (10.06.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Medizinisches Notfallmanagement (04.11.2022) |
| RM08 |
Regulated handling of custodial measures Standard Vermeidung, Anwendung und Dokumentation freiheitsentziehender Maßnahmen und Zwangsbehandlung (22.02.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM18 |
Discharge management Verfahrensanweisung Entlassmanagement (15.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Verbesserte Beschriftung der Sonderkost durch Caterer
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.02.2018 |
| 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: bei Bedarf
| 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 |