Dealing with risks in patient care
Quality management
Katrin Weber-Jakobs
QMB
Maria-Hilf-Strasse 2
54550 Daun
Phone:
06592
-715-2160
Mail:
ed.nuad-suahneknark@sbokaj.k
Ellen Thomas
QMB
Maria-Hilf-Strasse 2
54550 Daun
Phone:
06592
-715-2160
Mail:
ed.nuad-suahneknark@samohT.E
Geschäftsführung, Ärztlicher Direktor, Pflegedienstleitung, Qualitätsmanagementbeauftragter
Conference frequency: quartalsweise
Risk management
Günter Leyendecker
Prokurist
Maria-Hilf-Str. 2
54550 Daun
Phone:
06592
-7152232-
Mail:
ed.nuad-suahneknark@rekcedneyel.g
Qualitätsmanagementbeauftragter, Ärztliches Mitglied, Mitglied Mitarbeitervertretung, Mitglied Pflegedienst, Risikomanagementbeauftragter
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement Grundlagen (16.01.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management klinisches Risikomanagement (12.02.2021) |
| RM05 |
Pain management Schmerzmanagement (19.03.2018) |
| RM06 |
Fall prophylaxis Sturzmanagement/ Sturzerfassungsbogen (30.06.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (19.08.2021) |
| RM08 |
Regulated handling of custodial measures Fixierung eines Patienten bei Eigengefährdung (27.03.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagement (19.03.2018) |
| 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 Team Time Out (10.05.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Team Time Out (29.05.2019) |
| RM17 |
Standards for recovery and postoperative care Postoperative Versorgung im Aufwachraum (24.08.2021) |
| RM18 |
Discharge management Standard Entlassungsmanagement (19.08.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
individuelle Ergreifung von Maßnahmen anhand der gemeldeten Fälle im Fehlermeldesystem. Dies können unter anderem Schulungen, Einweisungen, Gespräche etc. sein
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.10.2021 |
| 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 jährlich |
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) |
| EF14 |
CIRS Health Care |