Dealing with risks in patient care
Quality management
R. M. Puzik
Qualitätsmanagement
Friedrich-Lau-Strasse 11
40474 Düsseldorf
Phone:
0211
-4386-253
Mail:
ed.dkp@kizup.htur
R. M. Puzik
Qualitätsmanagement
Friedrich-Lau-Strasse 11
40474 Düsseldorf
Phone:
0211
-4386-253
Mail:
ed.dkp@kizup.htur
Pflegedienstleitung, Klinikmanager, Ärztlicher Direktor
Conference frequency: wöchentlich
Risk management
Susanne Blinn
Leitung Geschäftsbereich Qualität
Friedrich-Lau-Strasse 11
40474 Düsseldorf
Phone:
0151
-58704868-
Mail:
ed.dkp@nnilb.ennasus
Klinikmanager und Geschäftsführung
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available fortlaufendes Qualitätsmanagement (31.12.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Notfallmanagement (18.01.2022) |
| RM05 |
Pain management Standard Schmerzmanagement (05.01.2022) |
| RM06 |
Fall prophylaxis Sturz-Ereignisprotokoll (12.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitus Erfassung (22.03.2023) |
| RM08 |
Regulated handling of custodial measures Leitfaden Fixierung von Patienten (23.09.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Sperrung und Weiterleitung defekter Geräte (06.06.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss OP-Checkliste Prämedikationsvisite (01.12.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Prämedikationsvisite und OP-Checkliste (01.12.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Checkliste (01.12.2021) |
| RM17 |
Standards for recovery and postoperative care Postoperative Überwachung (16.08.2022) |
| RM18 |
Discharge management Entlassungsmanagement (03.05.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Bewertung und Bearbeitungen der Meldungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.06.2019 |
| 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 |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |