Dealing with risks in patient care
Quality management
Yvonne Wisniewski
Qualitätsmanagementbeauftragte, klinische Risikomanagerin
Josef-Albers-Str. 70
46236 Bottrop
Phone:
02041
-106-3016
Mail:
ed.porttob-bhm@iksweinsiw.ennovy
Geschäftsführung, Pflegedienstleitung, Verwaltungsleitung
Conference frequency: wöchentlich
Risk management
Yvonne Wisniewski
Qualitätsmanagementbeauftragte, klinische Risikomanagerin
Phone:
02041
-106-3016
Fax: 02041-106-3019
Mail:
ed.porttob-bhm@iksweinsiw.ennovy
Geschäftsführung, Pflegedienstleitung, Verwaltungsleitung
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Konzept zur innerklinischen Notfallversorgung (11.07.2023) |
| RM05 |
Pain management Schmerzkonzepte der Kliniken, Tabellen Akutschmerz (20.01.2022) |
| RM06 |
Fall prophylaxis Grundlage Nationaler Expertenstandard, Sturzrisikoskala und Interventionen der Sturzprophylaxe, Sturzereignisprotokoll (24.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Grundlage Nationaler Expertenstandard, Leitlinie Dekubitusprophylaxe (28.06.2022) |
| RM08 |
Regulated handling of custodial measures Anwendung von freiheitsentziehenden Maßnahmen (23.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Umgang mit defekten Geräten (11.07.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste OP Vorbereitung (01.04.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Umgang mit Patientenidentifikationsbändern, Team Time Out (01.04.2022) |
| RM17 |
Standards for recovery and postoperative care Patientenversorgung im Aufwachraum, Postoperative Überwachung (17.03.2022) |
| RM18 |
Discharge management Patientenüberleitung, Überleitungsprozess Case Management, Sozialmedizinische Nachsorge, Pflegerische Überleitung, Verlegung und Entlassung stationärer Patienten (17.04.2023) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Etablierung veränderter Prozesse, neuer Verfahren, Schulungen zu verschiedenen Themen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.01.2023 |
| 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 jährlich |
Conference committee
Conference frequency: andere Frequenz
| 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) |
| 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 |