Dealing with risks in patient care
Quality management
Fr. Dorothea Ackermann-Schad
Zentrale QMB
Langensalzaer Landstraße 1
99974 Mühlhausen
Phone:
03601
-41-2383
Mail:
ed.dnalefuh@mq
Fr. Margarita Schollmeier
Zentrale QMB
Langensalzaer Landstraße 1
99974 Mühlhausen
Phone:
03601
-41-1110
Mail:
ed.dnalefuh@reiemllohcs.m
Fr. Margarita Schollmeier
Zentrale QMB
Langensalzaer Landstraße 1
99974 Mühlhausen
Phone:
03601
-41-1110
Mail:
ed.dnalefuh@reiemllohcs.m
Geschäftsleitung, Zentrale QMB
Conference frequency: monatlich
Risk management
Johannes Wölfer
CA Abt. für Neurochirurgie und Wirbelsäulenchirurgie, Leitung AG "CIRS", Ärztlicher Direktor
Langensalzaer Landstraße 1
99974 Mühlhausen
Phone:
03601
-41-1305
Fax: 03601-41-2100
Mail:
ed.dnalefuh@lhm.nizidem
Johannes Patrick Wölfer
Chefarzt Abt. für Neurochirurgie und Wirbelsäulenchirurgie, Leitung AG "CIRS"
Langensalzaer Landstraße 1
99974 Mühlhausen
Phone:
03601
-41-1305
Fax: 03601-41-2100
Mail:
ed.dnalefuh@lhm.nizidem
Johannes Patrick Wölfer
Chefarzt Abt. für Neurochirurgie und Wirbelsäulenchirurgie, Leitung AG "CIRS"
Langensalzaer Landstraße 1
99974 Mühlhausen
Phone:
03601
-41-1305
Fax: 03601-41-2100
Mail:
ed.dnalefuh@lhm.nizidem
Geschäftsleitung, Abt. Controlling/Leistungsabrechnung, Zentrale QMB
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM05 |
Pain management Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM06 |
Fall prophylaxis Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM08 |
Regulated handling of custodial measures Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Intranetbasiertes QM-Handbuch (31.12.2022) |
| 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 Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM17 |
Standards for recovery and postoperative care Intranetbasiertes QM-Handbuch (31.12.2022) |
| RM18 |
Discharge management Intranetbasiertes QM-Handbuch (31.12.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Optimierung und Sicherung interdisziplinärer Schnittstellen intern und extern, Erstellung und/oder Anpassung von Behandlungspfaden und Standards, intensive Fallanalysen per M & M-Konferenz, Schulung und Belehrung des Personals
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2022 |
| 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: