Dealing with risks in patient care
Quality management
Andreas Zipro
Medizincontrolling
An der Gontardslust 7
57319 Bad Berleburg
Phone:
02751
-802-2123
Mail:
ed.tiehdnuseg-demav@orpiz.saerdna
Innere Medizin, Chirurgie, Frauenheilkunde und Geburtshilfe, Intensivmedizin, Schmerztherapie, Verwaltung
Conference frequency: monatlich
Risk management
Manuela Nickl
Hygienefachkraft
Phone:
02751
-802-2061
Fax: 02751-802-1059
Mail:
ed.tiehdnuseg-demav@lkcin.aleunam
Geschäftsführung, Pflegedirektor, Ärztlicher Direktor, Betriebsratsmitglied, Risikomanagementbeauftragter
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM18 |
Discharge management |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
OP-Checkliste zur Vermeidung von Patienten und Seitenverwechslungen, Ereignisbezogene Pflegereviews in Bezug auf Dekubitus und Sturz, Patientenarmbänder
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 25.05.2019 |
| 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 |