Dealing with risks in patient care
Quality management
Heike Brost
Stv. Pflegedienstleitung, QM- Steuerungsgruppe
Liliencronstraße 130 130
22149 Hamburg
Phone:
040
-67377-298
Mail:
ed.tfitsmlehliw-hkk@tsorb.h
externe Berater, Direktorium, internes QM
Conference frequency: monatlich
Risk management
Heike Brost
Stv. Pflegedienstleitung, QM- Steuerungsgruppe
Liliencronstraße 130
22149 Hamburg
Phone:
040
-67377-298
Mail:
ed.tfitsmlehliw-hkk@tsorb.h
Ja, es gibt eine zentrale Arbeitsgruppe in Form eines Lenkungsgremiums bzw. einer Steuergruppe, die sich regelmäßig zum Thema austauscht.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available umfassendes QM- Handbuch (01.02.2021) |
| RM04 |
Clinical emergency management umfassendes QM- Handbuch (01.02.2021) |
| RM05 |
Pain management umfassendes QM- Handbuch (01.02.2021) |
| RM06 |
Fall prophylaxis umfassendes QM- Handbuch (01.02.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) umfassendes QM- Handbuch (01.02.2021) |
| RM08 |
Regulated handling of custodial measures umfassendes QM- Handbuch (01.02.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices umfassendes QM- Handbuch (01.02.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss umfassendes QM- Handbuch (01.02.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings umfassendes QM- Handbuch (01.02.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups umfassendes QM- Handbuch (01.02.2021) |
| RM17 |
Standards for recovery and postoperative care umfassendes QM- Handbuch (01.02.2021) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
neue Maßnahmen zur Patientenidentifikation wurden geschaffen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 25.01.2020 |
| 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: