Dealing with risks in patient care
Quality management
Dipl.-Pflegew. Christine Urban
Bereichsleitung Qualitäts- und Risikomanagement
Mühlenstraße 39
55543 Bad Kreuznach
Phone:
0671
-372-1666
Mail:
gro.redeurbrenaksiznarf@nabru.enitsirhc
Es sind alle medizinischen Abteilungen sowie Funktionsbereiche und der Verwaltungsbereich des Hauses mit ihren Qualitäts-/Risikobeauftragten beteiligt.
Conference frequency: bei Bedarf
Risk management
Christine Urban
Bereichsleitung Qualitäts- und Risikomanagement
Phone:
0671
-372-1666
Fax: 0671-372-1647
Mail:
gro.redeurbrenaksiznarf@nabru.enitsirhc
Es sind alle medizinischen Abteilungen sowie Funktionsbereiche und der Verwaltungsbereich des Hauses mit ihren Qualitäts-/Risikobeauftragten beteiligt.
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch Intranet (01.12.2023) |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch Intranet (01.12.2023) |
| RM05 |
Pain management QM-Handbuch Intranet (01.12.2023) |
| RM06 |
Fall prophylaxis QM-Handbuch Intranet (01.12.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch Intranet (01.12.2023) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch Intranet (01.12.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch Intranet (01.12.2023) |
| 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 QM-Handbuch Intranet (01.12.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch Intranet (01.12.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch Intranet (01.12.2023) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch Intranet (01.12.2023) |
| RM18 |
Discharge management QM-Handbuch Intranet (01.12.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Patienten-ID-Armbänder sowie Transfer-Checklisten zur Informationssicherstellung und Team-Time-Out-Prozeduren vor jedem Eingriff in OP und Endoskopie sind implementiert . Ein Fehlermeldesystem (CIRS-medical) wird geregelt genutzt.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.12.2022 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association) |