Dealing with risks in patient care
Quality management
Ute Gräf
Qualitätsmanagementbeauftragte Diakonie Klinikum
Euelsbruchstraße 39
57258 Freudenberg
Phone:
0271
-33340560-
Mail:
ed.ws-einokaid@mukinilk.mq
Geschäftsführung, Verwaltungsdirektoren, Pflegedirektion, ärztliche Direktoren - gemeinsame Sitzungen für das Diakonie Klinikum
Conference frequency: halbjährlich
Risk management
Ute Gräf
Qualitätsmanagementbeauftragte Diakonie Klinikum
Phone:
0271
-33340560-
Mail:
ed.ws-einokaid@mukinilk.mq
Geschäftsführung, Verwaltungsdirektoren, Pflegedirektion, ärztliche Direktoren - gemeinsame Sitzungen für das Diakonie Klinikum
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH (15.09.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QMH (15.09.2021) |
| RM05 |
Pain management QMH (15.09.2021) |
| RM06 |
Fall prophylaxis QMH (15.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QMH (15.09.2021) |
| RM08 |
Regulated handling of custodial measures QMH (15.09.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QMH (15.09.2021) |
| 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 QMH (15.09.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QMH (15.09.2021) |
| RM17 |
Standards for recovery and postoperative care QMH (15.09.2021) |
| RM18 |
Discharge management QMH (15.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Umsetzung der DiVi Empfehlungen im Umgang mit Medikamentenbeschriftung, Dispenser für standarisierte Medikamentenaufkleber
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.05.2021 |
| 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: monatlich
| No. | Explanation |
|---|---|
|
Other |