Dealing with risks in patient care
Quality management
B.sc. Lilian Zweyer
QM-Beauftragte, klinische Risikomanagerin, Business Risikomanagerin
Bachemer Straße 29-33
50931 Köln
Phone:
0221
-4003-131
Mail:
ed.sidragedlihts@reyewzl
Kaufmännische Direktorin, Geschäftsführer
Conference frequency: monatlich
Risk management
Lilian Zweyer
QM-Beauftragte, klinische Risikomanagerin, Business Risikomanagerin
Bachemer Straße 29-33
50931 Köln
Phone:
0221
-4003-131
Mail:
ed.sidragedlihts@reyewzl
Kaufmännische Direktorin, Geschäftsführer
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dokumentenmanagementsystem (15.10.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Dokumentenmanagementsystem (15.10.2021) |
| RM05 |
Pain management Dokumentenmanagementsystem (15.10.2021) |
| RM06 |
Fall prophylaxis Sturzpräventionskonzept (31.03.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusmanagement (31.03.2019) |
| RM08 |
Regulated handling of custodial measures Dokumentenmanagementsystem (15.10.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Anwenden und Betreiben von aktiven Medizinprodukten (15.11.2022) |
| 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 OP-Sicherheitscheckliste (WHO) (27.03.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheitscheckliste (27.03.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Dokumentenmanagementsystem (28.07.2022) |
| RM17 |
Standards for recovery and postoperative care Dokumentenmanagementsystem (15.10.2021) |
| RM18 |
Discharge management Entlassungsmanagement (30.10.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Fortbildungsmaßnahmen, Optimierung von Verfahrens- und Prozessbeschreibungen, Verbesserte Regelungen bzgl. Verantwortlichkeiten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 27.10.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: jährlich
| No. | Explanation |
|---|---|
|
Other |