Dealing with risks in patient care
Quality management
Christiane Koletzki
QMB
Kirchfeldstr. 40
40217 Düsseldorf
Phone:
0211
-919-2140
Mail:
ed.frodlesseud-kve@ikztelok.enaitsirhc
QM, PDL, Ärztlicher Dienst, Medizincontrolling und ggf. weitere Berufsgruppen
Conference frequency: monatlich
Risk management
Dieter Gurschke
Leiter innere Verwaltung
Kirchfeldstr. 40
40217 Düsseldorf
Phone:
0211
-919-2001
Mail:
ed.frodlesseud-kve@ekhcsrug.reteid
Ärztlicher- , Pflegerischer- und Verwaltungsdienst
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch, QM Dokumentationen, Dokumentenlenkung, SOPs, Verfahrensanweisungen, ... (11.02.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM Dokumentationen, Dokumentenlenkung, SOPs, Verfahrensanweisungen, ... (27.04.2022) |
| RM05 |
Pain management QM Dokumentationen, Dokumentenlenkung, SOPs, Verfahrensanweisungen, ... (12.10.2021) |
| RM06 |
Fall prophylaxis QM Dokumentationen, Dokumentenlenkung, SOPs, Verfahrensanweisungen, ... (10.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM Dokumentationen, Dokumentenlenkung, SOPs, Verfahrensanweisungen, ... (10.06.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Dokumentationen, Dokumentenlenkung, SOPs, Verfahrensanweisungen, ... (16.12.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Checkliste OP. Team Time Out - OP, Team-Time Out-Endoskopie, Checkliste HKL, Patienten-Identifikationsarmbänder (23.11.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
nach CIRS Eingabe
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.02.2022 |
| 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 monatlich |
Conference committee
Conference frequency: