Dealing with risks in patient care
Quality management
Dipl.-Ges.-Ök. Daniel Baumeister
Qualitätsmanagement und klinisches Risikomanagement
Wilhelm-Griesinger-Straße 23
51109 Köln
Phone:
0221
-8993-794
Mail:
ed.rvl@retsiemuab.leinad
Klinikvorstand, Qualitätsmanagement
Conference frequency: monatlich
Risk management
Daniel Baumeister
Qualitätsmanagement und klinisches Risikomanagement
Wilhelm-Griesinger-Str. 23
51109 Köln
Phone:
0221
-8993-794
Fax: 0221-8993-581
Mail:
ed.rvl@retsiemuab.leinad
Klinikvorstand Risikomanagement Qualitätsmanagement Hygienefachkraft Brandschutzbeauftragter Strahlenschutzbeauftragte Arbeitssicherheitsbeauftragter
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Notfallmanagement (17.04.2020) |
| RM06 |
Fall prophylaxis Komplikationsstandard Sturz (11.09.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard: Dekubitusprophylaxe (25.05.2021) |
| RM08 |
Regulated handling of custodial measures Pflegestandard: Betreuung eines fixierten Patienten (07.12.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Betriebsanweisungen (28.05.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Verordnung, Richten und Vergabe von Medikamenten und Betäubungsmitteln (BTM) (19.10.2020) |
| RM18 |
Discharge management Rahmenvertrag Entlassmanagement (12.03.2020) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Evaluation des Deeskalationskonzepts, Konkretisierung des Fehlermeldesystems in einrichtungsinternes und -übergreifendes CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 23.08.2021 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |