Dealing with risks in patient care
Quality management
Dr. med. Jörg Berger
Medizincontrolling
Grunewaldstr. 96
47053 Duisburg
Phone:
0203
-546-2925
Mail:
ed.tiehdnuseg-soileh@2regreb.greoj
Ärztliche Direktoren, Klinikdirektoren, Pflegedirektion, Medizincontrolling
Conference frequency: monatlich
Risk management
Wolfgang Lepper
Ärztlicher Direktor
Phone:
0203
-546-2451
Fax: 0203-546-2449
Mail:
ed.tiehdnuseg-soileh@reppel.gnagflow
Ärztliche Direktoren, Klinikdirektoren, Pflegedirektion, Medizincontrolling
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021) |
| RM08 |
Regulated handling of custodial measures Geregelter Umgang mit freiheitsentziehenden Maßnahmen (12.01.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care geregelte Überwachung der Aufwachphase (11.02.2020) |
| RM18 |
Discharge management Verfahrensanweisung Entlassungsmangement (12.01.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Erforderliche Maßnahmen werden umgesetzt.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 27.04.2023 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |