Dealing with risks in patient care
Quality management
Stephan Jatzkowski
Qualitätsmanager
Knuthstr. 1
24939 Flensburg
Phone:
0461
-812-2127
Mail:
ed.okaid@tsikswokztaj
Geschäftsführung, Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management
Stephan Jatzkowski
Qualitätsmanager
Knuthstr. 1
24939 Flensburg
Phone:
0461
-812-2127
Fax: 0461-812-2129
Mail:
ed.okaid@tsikswokztaj
Geschäftsführung, Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Alle relevanten Regelungen zum Qualitäts- und zum Risikomanagement liegen im zentralen QM-Handbuch. Dieses wird fortlaufend aktualisiert, z.B. VA Medikation (63130) (12.04.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Klinisches Notfallmanagement / Reanimation (27771) (30.03.2021) |
| RM05 |
Pain management Konzept Schmerztherapie in der operativen Medizin (29246) (28.05.2021) |
| RM06 |
Fall prophylaxis Sturzmanagement (64167) (30.06.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) mehrere Dokumente (54960, 54961, 54965, 49574) (28.02.2020) |
| RM08 |
Regulated handling of custodial measures VA Fixierung von Patienten / Freiheitsentziehende Maßnahmen (63392) (01.02.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Vorkommnisse mit Medizinprodukten (28043) (14.06.2023) |
| 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 Checkliste Sicherheit für operative Patienten (25965) (26.01.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste Sicherheit für operative Patienten (25965) (26.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Mehrere Regelungen, u.a. Sichere Patientenidentifikation (26825), PIA Patientenidentifikationsarmband (25911), Checkliste Sicherheit für operative Patienten (25965) (17.06.2020) |
| RM17 |
Standards for recovery and postoperative care Leitlinien für die Anästhesie (29247) (14.07.2022) |
| RM18 |
Discharge management Entlassung von Patienten / Entlassmanagement (64133) (17.11.2020) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
z.B. Modernisierung der Rohrpostanlage, Nachjustierung Userrechte im Krankenhausinformationssystem, Fehlerbehebung im Krankenhausinformationssystem bei der Erfassung von Allergien, Überprüfung Dosierungsschemata für Schmerztherapie
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.04.2023 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |