Dealing with risks in patient care
Quality management
Christian Steffens
Qualitätsmanagement-Beauftragter
Osterfelder Straße 157
46242 Bottrop
Phone:
02041
-15-4080
Mail:
ed.porttob-kk@sneffets.naitsirhc
Betriebsleitung, Ärztlicher Dienst, Pflegedienst, Verwaltungsdienst, Qualitätsmanagement-Beauftragte, Betriebsrat, Personalrat, Risikomanager
Conference frequency: halbjährlich
Risk management
Barbara Goebel
Risikomanagerin
Phone:
02041
-15-2005
Fax: 02041-15-2022
Mail:
ed.porttob-kk@lebeog.arabrab
Betriebsleitung, Ärztlicher Dienst, Pflegedienst, Verwaltungsdienst, Qualitätsmanagement-Beauftragte, Betriebsrat, Personalrat, Risikomanager
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch Knappschaftskrankenhaus Bottrop GmbH (07.12.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Organisationshandbuch Medizinisches Notfallmanagement (11.05.2021) |
| RM05 |
Pain management Organisationshandbuch Knappschaftskrankenhaus Bottrop GmbH (07.12.2022) |
| RM06 |
Fall prophylaxis Organisationshandbuch Sturzmanagement (23.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Organisationshandbuch Wundmanagement (23.05.2019) |
| RM08 |
Regulated handling of custodial measures LL Freiheitsentziehende Maßnahmen (01.09.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Medizingeräte - Wartung, Reparatur und Anwendung (10.08.2022) |
| 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 Organisationshandbuch Knappschaftskrankenhaus Bottrop GmbH (07.12.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Organisationshandbuch Knappschaftskrankenhaus Bottrop GmbH (07.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups CL OP - Patientensicherheit (08.03.2023) |
| RM17 |
Standards for recovery and postoperative care VA Patientenüberwachung – POBE (30.01.2023) |
| RM18 |
Discharge management Organisationshandbuch Entlassungsmanagement (05.01.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Strukturelle und Prozessurale Regelungen zur Bewältigung der Corona-Pandemie
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 26.04.2022 |
| 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: monatlich
| 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 |