Dealing with risks in patient care
Quality management
Axel Klein
Abteilungsleiter Medizincontrolling / Qualitätsmanagement
Dr. -Goldenbogen-Straße 10
51545 Waldbröl
Phone:
02291
-82-2525
Mail:
ed.grebrebo-mukinilk@nielk.lexa
Conference frequency:
Risk management
Magnus Kriesten
Geschäftsführer
Phone:
02261
-17-0
Fax: 02261-17-2002
Mail:
ed.grebrebo-mukinilk@ofni
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Verfahrensanweisungen (06.04.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisungen (06.04.2023) |
| RM05 |
Pain management Verfahrensanweisungen (06.04.2023) |
| RM06 |
Fall prophylaxis Verfahrensanweisungen (06.04.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisungen (06.04.2023) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisungen (06.04.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisungen (06.04.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings Verfahrensanweisungen (06.04.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisungen (06.04.2023) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanweisungen (06.04.2023) |
| RM18 |
Discharge management Verfahrensanweisungen (06.04.2023) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 20.11.2017 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: andere Frequenz
| 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 |