Dealing with risks in patient care
Quality management
Nina Majer
Qualitätsmanagementbeauftragte
Heidbergweg 22-24
45257 Essen
Phone:
0201
-455-1103
Mail:
ed.ailitnoc@rejam.n
Regelmäßiger Austausch in allen Fachabteilungen mit den Qualitätsmanagementverantwortlichen
Conference frequency: bei Bedarf
Risk management
Nina Majer
Qualitätsmanagementbeauftragte
Heidbergweg 22-24
45257 Essen
Phone:
0201
-455-1103
Fax: 0201-455-2924
Mail:
ed.ailitnoc@rejam.n
Regelmäßiger Austausch in allen Fachabteilungen mit den Qualitätsmanagementverantwortlichen
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Lenkung von Dokumenten (27.07.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Konzept medizinisches Notfallmanagement (03.11.2020) |
| RM05 |
Pain management Standard zur Schmererfassung (31.03.2020) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe in der Pflege (23.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe in der Pflege (23.09.2021) |
| RM08 |
Regulated handling of custodial measures Umgang mit Freiheitsentziehenden Maßnahmen (08.11.2021) |
| 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 OP- Statut (23.05.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings VA präoperative Abstimmung Anästhesie/ Operateur (28.04.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP Feldkennzeichnung (06.04.2020) |
| RM17 |
Standards for recovery and postoperative care Aufwachraum Standardbeschreibung (06.04.2022) |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement (03.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Vorgehensweise und Umsetzung nach dem Aktionsbündnis Patientensicherheit. Vorgehensweise und Umsetzung nach Vorgaben der WHO.Wie z. B.:-Patientenidentifikationsarmbänder-Team Time Out (OP)-Perioperative Checkliste -Checklisten-OP-Statut -OP-Manager -Eigene CIRS-Plattform unter www.meine-meldung.de
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 03.05.2023 |
| 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 |
|---|---|
|
Other |