Dealing with risks in patient care
Quality management
Ina Broß
Leiterin des Qualitätsmanagements
Am See 1
59368 Werne
Phone:
02306
-775760-
Mail:
ed.neneul-mukinilk@ani.ssorb
Ina Broß
Leiterin des Qualitätsmanagements
Am See 1
59368 Werne
Phone:
02306
-775760-
Mail:
ed.neneul-mukinilk@ani.ssorb
Betriebsleitung: Herr Weinand (Geschäftsführer), Herr Galuschka (Geschäftsführer), Herr CA Dr. Hegge (Mitglied der Betriebsleitung/Ärztlicher Direktor), Frau Broß (Ltg. Qualitätsmanagement)
Conference frequency: quartalsweise
Risk management
Ina Broß
Leiterin des Qualitätsmanagements
Am See 1
59368 Werne
Phone:
02306
-775760-
Mail:
ed.neneul-mukinilk@ani.ssorb
Ina Broß
Leiterin des Qualitätsmanagements
Am See 1
59368 Werne
Phone:
02306
-775760-
Mail:
ed.neneul-mukinilk@ani.ssorb
Betriebsleitung, Qualitätsmanagement, Klinische Fachabteilungen, Risikomanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM06 |
Fall prophylaxis Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM08 |
Regulated handling of custodial measures Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| 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 Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Intranethandbuch (31.03.2018) |
| RM17 |
Standards for recovery and postoperative care Sharepoint Version 2016Intranethandbuch (31.03.2018) |
| RM18 |
Discharge management Sharepoint Version 2016Intranethandbuch (31.03.2018) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Synchronisation der Zeitgeber für Vitaldaten, Vereinheitlichung von Infusionslösungen, Schulungen zur Reanimation
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.03.2018 |
| 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 halbjährlich |
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 |