Dealing with risks in patient care

Quality management

Kristin Wilkes

Regionalverantwortliche Qualitätsmanagement

Knollstraße 31
49088 Osnabrück

Phone: 0541 -313-957
Mail: ed.soema@sekliw.nitsirk

Ärztlich-psychologischer Dienst, Pflegedienst, Verwaltung, Qualitätsmanagement, Betriebsrat

Conference frequency: monatlich

Risk management

Kristin Wilkes

Regionalverantwortliche Qualitätsmanagement

Knollstraße 31
49088 Osnabrück

Phone: 0541 -313-957
Fax: 0541-313-209
Mail: ed.soema@sekliw.nitsirk

Ärztlich-psychologischer Dienst, Pflegedienst, Verwaltung, Qualitätsmanagement, Betriebsrat

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Risikorichtlinie (27.10.2014)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Risikorichtlinie (27.10.2014)

RM05

Pain management

Risikorichtlinie (27.10.2014)

RM06

Fall prophylaxis

Risikorichtlinie (27.10.2014)

RM07

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

Risikorichtlinie (27.10.2014)

RM08

Regulated handling of custodial measures

Risikorichtlinie (27.10.2014)

RM09

Regulated handling of occurring malfunctions of devices

Risikorichtlinie (27.10.2014)

RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Risikorichtlinie (27.10.2014)

RM18

Discharge management

Risikorichtlinie (27.10.2014)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

z. B. neue Vorgaben zur Patientenidentifikation, verbesserte Notfallausrüstung

No. Explanation
IF01

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

As of: 08.02.2021

IF02

Internal evaluation of the received reports

taken jährlich

Conference committee

Conference frequency: monatlich

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)