Dealing with risks in patient care

Quality management

Christian Emmerich

Leiter Qualitätsmanagement und Leiter Pflegedienst

Hasselbornring 5
35619 Braunfels

Phone: 06442 -939-270
Mail: ed.sota@hciremme.naitsirhc

Alle Abteilungen und Funktionsbereiche

Conference frequency: monatlich

Risk management

Christian Emmerich

Leiter Qualitätsmanagement und Leiter Pflegedienst

Hasselbornring 5
35619 Braunfels

Phone: 06442 -939-270
Mail: ed.sota@hciremme.naitsirhc

Alle Abteilungen und Funktionsbereiche

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Qualitäts-, Arbeitsschutz- und Risikopolitik; interne Audits (07.04.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Nottfallkettenschema. (05.07.2021)

RM05

Pain management

VA Schmerzmanagement (03.02.2021)

RM06

Fall prophylaxis

Expertenstandard. (22.02.2021)

RM07

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

Expertenstandard (01.01.2021)

RM08

Regulated handling of custodial measures

VA freiheitsentziehende Maßnahmen (20.10.2022)

RM09

Regulated handling of occurring malfunctions of devices

VA Umgang mit Medizinprodukten (14.09.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
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

OP-Sicherheitscheckliste "Time in and out" (08.06.2022)

RM15

Preoperative, complete presentation of necessary findings

Erfolgt im Rahmen der ärztlichen Besprechung / 2x am Tag (20.05.2021)

RM16

Procedure to avoid procedural and patient mix-ups

VA Sichere Patientenindentifikation (30.04.2021)

RM17

Standards for recovery and postoperative care

VA Postoperative Versorgung IMC (08.11.2021)

RM18

Discharge management

VA Entlassmanagement (04.10.2021)

Fault reporting systems

Conference committee

Conference frequency: jährlich

Measures

Gem. Standard.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 01.12.2021

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 halbjährlich

Conference committee

Conference frequency: quartalsweise

No. Explanation

Other