Dealing with risks in patient care
Quality management
Dr. Annika Tovote
Qualitäts- und Leitbildbeauftragte
Von-Ketteler-Str. 39
48231 Warendorf
Phone:
02504
-60-193
Mail:
ed.etglet-hrs@etovot.akinna
Projektsteuerungsgruppe unter Beteiligung des Direktoriums, der Mitarbeitervertretung und des Qualitätsmanagements
Conference frequency: quartalsweise
Risk management
Matthias Rothermundt
Ärztlicher Direktor
Von-Ketteler-Str. 39
48231 Warendorf
Phone:
02504
-60-122
Fax: 02504-60-121
Mail:
ed.etglet-hrs@tdnumrehtor.saihttam
Projektsteuerungsgruppe unter Beteiligung des Direktoriums, der Mitarbeitervertretung und des Qualitätsmanagements
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available ÄPR/SR (01.02.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management ÄPR/SR (01.02.2022) |
| RM05 |
Pain management ÄPR Kapitel 4.11 Behandlungspfad Schmerz (01.01.2022) |
| RM06 |
Fall prophylaxis SR Kapitel 7.8.2 (01.06.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) SR Kapitel 7.7 (01.06.2017) |
| RM08 |
Regulated handling of custodial measures ÄPR/SR (01.02.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups ÄPR/SR (01.10.2021) |
| RM18 |
Discharge management ÄPR Kapitel 4.1 (01.10.2017) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
u.a. Maßnahmen zur Verbesserung der Dekubitus- und Sturzprophylaxe
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.03.2022 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
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 |