Dealing with risks in patient care
Quality management
Frau Nathalie Kalisz
Leitung Qualitäts- und Klinisches Risikomanagement
Lange Straße 4 - 6
60311 Frankfurt am Main
Phone:
069
-7601-1
Mail:
ed.wnhk@eilahtan.zsilak
Geschäftsführung Chefärzte Pflegedirektion
Conference frequency: bei Bedarf
Risk management
Nathalie Kalisz
Risikomanagerin
Lange Straße 4-6 4 - 6
60311 Frankfurt am Main
Phone:
069
-7601-1
Fax: 069-7601-3492
Mail:
ed.wnhk@eilahtan.zsilak
Geschäftsführung Chefärzte Pflegedirektion
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Schriftliche Darlegung des QM und RM Systems (09.02.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Krankenhauseinsatzplanung (02.05.2021) |
| RM05 |
Pain management Schriftliche Darlegung des QM und RM Systems (09.02.2022) |
| RM06 |
Fall prophylaxis Schriftliche Darlegung aller Pflegestandards in im Dokumentenmanagementsystem (09.02.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Schriftliche Darlegung aller Pflegestandards in im Dokumentenmanagementsystem (09.02.2022) |
| RM08 |
Regulated handling of custodial measures Schriftliche Darlegung im QM System (12.07.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Anwendung des Medizinproduktegesetz (27.07.2020) |
| 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 Schriftliche Darlegung des QM Systems (23.05.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Schriftliche Darlegung im Dokumentenmanagementsystem (11.03.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Teil des QM Systems (23.05.2023) |
| RM17 |
Standards for recovery and postoperative care Strukturierte Übergabe nach standardisiertem Vorgehen (02.09.2020) |
| RM18 |
Discharge management Schriftliche Darlegung aller Pflegestandards in im Dokumentenmanagementsystem (09.07.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Fehlerrisiken mit Maßnahmen zur Risikominimierung sind in allen Kliniken benannt.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.09.2021 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| 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) |
| EF14 |
CIRS Health Care |