Dealing with risks in patient care

Quality management

Frau Christine Schröder

QMB

Bachstraße 76
59590 Geseke

Phone: 02942 -590-0
Mail: ed.ekeseg-suahneknark@ofni

Qualitätsbeauftragte / Pflegedienstleitung / Hygienefachkraft

Conference frequency: bei Bedarf

Risk management

Christine Schröder

QMB

Bachstraße 76
59590 Geseke

Phone: 02942 -590-0
Fax: 02942-590-104
Mail: ed.ekeseg-suahneknark@ofni

Qualitätsbeauftragte / Pflegedienstleitung / Hygienefachkraft

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

Intrexx (31.12.2020)

RM02

Regular further education and training measures

RM06

Fall prophylaxis

Intrexx (31.12.2020)

RM07

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

Angepasster Expertenstandard und Dekubitus-Beauftragte auf jeder Station (16.07.2015)

RM08

Regulated handling of custodial measures

Intrexx (31.12.2020)

RM09

Regulated handling of occurring malfunctions of devices

Intrexx (31.12.2020)

RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Patientenidentifikationsarmbänder und Angepasste WHO Sicherheitscheckliste (01.07.2013)

RM18

Discharge management

Ablauf Entlassmanagement (01.10.2017)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Maßnahmen zur Verbesserung der Patientensicherheit

No. Explanation
IF01

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

As of: 16.11.2022

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: 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