Dealing with risks in patient care
Quality management
Jens Ritter
Geschäftsführer
Oskar-Alexander-Str. 26
24576 Bad Bramstedt
Phone:
04192
-902011-
Mail:
ed.bbmukinilk@fg
Geschäftsführung, Ärztlicher Direktor, Qualitäts-und Risikomanagement
Conference frequency: quartalsweise
Risk management
Geschäftsführung, Ärztlicher Direktor, Controlling, Qualitäts-und Risikomanagement, Pflegedienstleitung, Ärztliche Leitungen der Fachabteilungen etc.
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikokataster (09.11.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Risikokataster (09.11.2021) |
| RM05 |
Pain management Leitlinie Schmerzmanagement, Pflegestandard Schmerzmanagement (02.03.2020) |
| RM06 |
Fall prophylaxis Leitlinie Sturzprophylaxe (02.03.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (17.10.2018) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Fixierung (04.05.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahren Vorkommnismeldung (11.04.2016) |
| 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 Verfahren Patientensicherheit im OP (20.07.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Verfahren Patientensicherheit im OP (20.07.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahren zur Patienteneinschleusung im OP, OP-Sicherheits-Checkliste (20.02.2019) |
| RM17 |
Standards for recovery and postoperative care IMC Übergabe und Therapiebogen (20.05.2019) |
| RM18 |
Discharge management Verfahren Entlassmanagement (18.03.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
4-Augen-Prinzip, Patientenidentifikationsarmband im OP, Team-Time-Out, 5-R-Regel
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 17.03.2021 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| 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: quartalsweise
| No. | Explanation |
|---|---|
|
Other |
|
|
Other |