Dealing with risks in patient care

Quality management

Astrid Schwalme

Pflegedienstleitung

Dorfstraße 39
18516 Süderholz / OT Bartmannshagen

Phone: 038326 -52-411
Mail: ed.nemmirg-suahneknark@emlawhcs.a

interdisziplinär

Conference frequency: andere Frequenz

Risk management

Madeleine Hahn

Hygienefachkraft CIRS-Beauftragte

Dorfstraße 39
18516 Süderholz / OT Bartmannshagen

Phone: 038326 -52-405
Fax: 038326-52-121
Mail: ed.nemmirg-suahneknark@nhah.m

alle Fachabteilungen

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Handbuch QM (01.02.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Handbuch QM (01.02.2022)

RM05

Pain management

Handbuch QM (01.02.2022)

RM06

Fall prophylaxis

Handbuch QM (01.02.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Handbuch QM (01.02.2022)

RM08

Regulated handling of custodial measures

Handbuch QM (01.02.2022)

RM09

Regulated handling of occurring malfunctions of devices

Handbuch QM (01.02.2022)

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

Handbuch QM (01.02.2022)

RM15

Preoperative, complete presentation of necessary findings

Handbuch QM (01.02.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Handbuch QM (01.02.2022)

RM17

Standards for recovery and postoperative care

Handbuch QM (01.02.2022)

RM18

Discharge management

Handbuch QM (01.02.2022)

Fault reporting systems

Conference committee

Conference frequency: wöchentlich

Measures

Patientenidentifikationsarmbänder, OP-Checklisten

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 31.01.2022

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: quartalsweise

No. Explanation

Other