Dealing with risks in patient care

Quality management

Mark-Erik Griffin

QMB

Ockstädter Str. 3-5
61169 Friedberg

Phone: 06032 -702-1126
Mail: ed.uarettew-z@niffirG.kraM

es findet wöchentlich ein QM Jour-Fixe statt.

Conference frequency: wöchentlich

Risk management

Jutta Engeland

Risikomanager

Ockstädter Str. 3-5
61169 Friedberg

Phone: 06032 -702-1236
Fax: 06032-702-1109
Mail: ed.uarettew-zg@dnalegne.attuj

Qualitätsmanagement, Risikomanagement und Pflegedienstleitung

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Handbuch Risikomanagement (13.08.2019)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Notfallmanagement (19.09.2019)

RM05

Pain management

Expertenstandard akuter Schmerz (18.06.2018)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe (15.08.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Expertenstandard Dekubitusprophylaxe (22.05.2018)

RM08

Regulated handling of custodial measures

VA Fixierungsrichtlinien (20.07.2020)

RM09

Regulated handling of occurring malfunctions of devices

Instandhaltung, Beschaffung und Inbetriebnahme von med. Geräten (05.05.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
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

Transfusionshandbuch (18.05.2020)

RM15

Preoperative, complete presentation of necessary findings

OP Checkliste (08.06.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Team-Time Out, Patientenidentifikationsarmband (10.08.2022)

RM17

Standards for recovery and postoperative care

Intubationsnarkosen (10.08.2022)

RM18

Discharge management

Expertenstandard Entlassungsmanagement (18.08.2019)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Eingehende Risikomeldungen werden in den Leitungsgremien besprochen und die Risikomeldung des Monats im Intranet veröffentlicht.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 31.07.2019

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 jährlich

Conference committee

Conference frequency: