Dealing with risks in patient care
Quality management
Peter Berlin
Geschäftsführer:in
Klara-Kopp-Weg 1
45138 Essen
Phone:
0201
-897-2201
Mail:
ed.ailitnoc@nilreb.p
Geschäftsführung, Ärztlicher Direktor, Pflegedirektorin, Qualitätsmanagement - regelmäßiger Austausch mit aller Fachabteilungen
Conference frequency: monatlich
Risk management
Peter Berlin
Geschäftsführer:in
Klara-Kopp-Weg 1
45138 Essen
Phone:
0201
-897-2201
Fax: 0201-897-2209
Mail:
ed.ailitnoc@nilreb.p
Geschäftsführung, Ärztlicher Direktor, Pflegedirektorin, Qualitätsmanagement - regelmäßiger Austausch mit aller Fachabteilungen
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Konzept / Sicherheitsmanagement (05.10.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement / Alarm- und Katastrophenplan (MANV) (27.06.2022) |
| RM05 |
Pain management Konzept Schmerztherapie (27.05.2021) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (13.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (16.02.2022) |
| RM08 |
Regulated handling of custodial measures Fixierung (05.10.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Konzept / Sicherheitsmanagement (05.10.2021) |
| 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 Perioperative Patientencheckliste gemäß WHO (14.06.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Perioperative Patientencheckliste gemäß WHO (14.06.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Perioperative Patientenchecklsite gemäß WHO (14.06.2021) |
| RM17 |
Standards for recovery and postoperative care SOP zur Intensivmedizin (17.05.2019) |
| RM18 |
Discharge management Entlassmanagement (08.10.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Perioperative Checkliste, M&M Konferenzen, Risikoaudits, Aktionsbüdnis Patientensicherheit
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.05.2021 |
| 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 jährlich |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
|
Other |
|
| 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 |