Dealing with risks in patient care

Quality management

Frau Christine Schröder

QMB

Klosterstraße 31
59555 Lippstadt

Phone: 02941 -758-0
Mail: ed.latipsoh-stiekgitlafierd@ofni

Pflegedienstleitung, Hygienefachkraft, Qualitätsmanagement

Conference frequency: bei Bedarf

Risk management

Christine Schröder

QMB

Klosterstraße 31
59555 Lippstadt

Phone: 02941 -758-0
Fax: 02941-758-61000
Mail: ed.latipsoh-stiekgitlafierd@ofni

Pflegedienstleitung, Hygienefachkraft, Qualitätsmanagement

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

Intranet (31.12.2020)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Intranet (31.12.2020)

RM05

Pain management

Intranet (31.12.2020)

RM06

Fall prophylaxis

Intranet (31.12.2020)

RM07

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

Angepasster Expertenstandard Dekubitusprophylaxe in der Pflege (16.07.2015)

RM08

Regulated handling of custodial measures

Intranet (31.12.2020)

RM09

Regulated handling of occurring malfunctions of devices

Intranet (31.12.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Patientenarbänder, Angepasste WHO Sicherheitscheckliste (01.07.2013)

RM18

Discharge management

Entlassmanagement (01.10.2017)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Maßnahmen zur Verbesserung der Patientensicherheit

No. Explanation
IF01

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

As of: 16.11.2022

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: bei Bedarf

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