Dealing with risks in patient care
Quality management
Herr Marc Candidus
Teamleitung Qualitätsmanagement
Wilhelmstraße 34
46145 Oberhausen
Phone:
0208
-695-6880
Mail:
ed.soema.bo@sudidnaC.craM
Arbeitsgruppe Qualitätsmanagement
Conference frequency: monatlich
Risk management
Marc Candidus
Teamleitung Qualitätsmanagement
Wilhelmstraße 34
46145 Oberhausen
Phone:
0208
-695-6880
Fax: 0208-695-5059
Mail:
ed.soema.bo@sudidnaC.craM
GF/MA Ärztlicher Dienst /QM/Betriebsrat
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Digital im QM-Portal (12.03.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Digital im QM-Portal (12.03.2021) |
| RM05 |
Pain management Digital im QM-Portal (12.03.2021) |
| RM06 |
Fall prophylaxis Digital im QM-Portal (12.03.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Digital im QM-Portal (12.03.2021) |
| RM08 |
Regulated handling of custodial measures Digital im QM-Portal (12.03.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Digital im QM-Portal (12.03.2021) |
| 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 Digital im QM-Portal (12.03.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Digital im QM-Portal (12.03.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Digital im QM-Portal (12.03.2021) |
| RM17 |
Standards for recovery and postoperative care Digital im QM-Portal (12.03.2021) |
| RM18 |
Discharge management Digital im QM-Portal (12.03.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Maßnahmen aus Abweichungen/Hinweisen von internen Audits /Maßnahmen aus Abweichungen/Hinweisen von externen Audits/ Maßnahmen aus der Auswertung von Kundenbefragung/Maßnahmen aus der Auswertung von Beanstandungen - intern und extern Auswertungen von Kundenzufriedenheit (Beschwerdemanagement) Internes Vorschlagswesen (IBV)Erreichungsgrad von Abteilungszielen/Riskop/Reparaturmeldesysteme/Mitarbeitergespräche/Mitarbeiterbefragung/Dringliche Korrekturmaßnahmen
| No. | Explanation |
|---|---|
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: