Dealing with risks in patient care
Quality management
Frau Hannah Kettling
Qualitätsmanagementbeauftragte
Haltenhoffstraße 41
30167 Hannover
Phone:
0511
-970-1856
Mail:
ed.hrk@gnilttek.hannaH
Frau Stefanie Saffe
Leitung Qualitätsmanagement
Haltenhoffstraße 41
30167 Hannover
Phone:
0511
-970-1846
Mail:
ed.hrk@effas.einafets
Direktorium und das Qualitätsmanagement
Conference frequency: monatlich
Risk management
Hannah Kettling
Qualitätsmanagementbeauftragte
Haltenhoffstraße 41
30167 Hannover
Phone:
0511
-970-1856
Fax: 0511-970-1735
Mail:
ed.hrk@tdatsdron.ledatdnubol
Stefanie Saffe
Leitung Qualitätsmanagement
Haltenhoffstraße 41
30167 Hannover
Phone:
0511
-970-1846
Fax: 0511-970-1735
Mail:
ed.hrk@effas.einafets
Ja-Arbeitsgruppe nur Risikomanagement
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM05 |
Pain management Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM06 |
Fall prophylaxis Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM08 |
Regulated handling of custodial measures Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dokumentenlenkungssystem (DLS) (01.07.2019) |
| 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 Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM17 |
Standards for recovery and postoperative care Dokumentenlenkungssystem (DLS) (01.07.2019) |
| RM18 |
Discharge management Dokumentenlenkungssystem (DLS) (01.07.2019) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
CIRS vollumfänglich eingeführt für das gesamte KRH
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.11.2022 |
| 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 quartalsweise |
Conference committee
Conference frequency:
| No. | Explanation |
|---|---|
|
Other |
|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) |