Dealing with risks in patient care
Quality management
Frau Carola Wiechmann
Ltg. Geschäftsbereich Qualitätsmanagement und Risikomanagement
Züricher Straße 40
28325 Bremen
Phone:
0421
-497-81410
Mail:
ed.drontiehdnuseg@nnamhceiW.aloraC
Conference frequency:
Risk management
Carola Wiechmann
Ltg. Geschäftsbereich Qualitätsmanagement und Risikomanagement
Phone:
0421
-497-81410
Fax: 0421-497-1981420
Mail:
ed.drontiehdnuseg@nnamhceiW.aloraC
Lenkungsgruppe Risikomanagement zu ökonomischem und klinischem Risikomanagement.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM05 |
Pain management übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM06 |
Fall prophylaxis übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM08 |
Regulated handling of custodial measures übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| 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 übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM17 |
Standards for recovery and postoperative care übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
| RM18 |
Discharge management übergreifende Qualitäts- und/oder Risikomanagement-Dokumentation (15.10.2022) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Es wurden vielfältige Maßnahmen zur Verbesserung der Patientensicherheit umgesetzt. Beispiele: - seit 2016: Jährlicher Patientensicherheitstag - seit 2017: DEKRA Zertifikat Patientensicherheit - Patientenidentifikationsarmbänder - OP-Sicherheitscheckliste - Audits (z.B.Arzneimitteltherapie-sicherheit,Notfall-,Pflege-,OP-,Eingriffs-und Entlassmanagement, Dokumentation) - M&M-Konferenzen - Strukturierte Fallanalysen nach London-Protokoll - Broschüre Sicherheit im Krankenhaus für Patienten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.08.2023 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |