Dealing with risks in patient care
Quality management
Herr Christian Ponocny
Leitender QMB
Friedrich-Lichtenauer-Allee 1
21423 Winsen ( Luhe )
Phone:
04171
-134004-
Mail:
ed.nesniw-suahneknark@ynconop.naitsirhc
QM - Steuergruppe
Conference frequency: quartalsweise
Risk management
Christian Ponocny
Leitender QMB
Friedrich-Lichtenauer-Allee 1
21423 Winsen ( Luhe )
Phone:
04171
-134004-
Mail:
ed.nesniw-suahneknark@ynconop.naitsirhc
RM - Lenkungsgruppe mit QM - Steuergruppe
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (20.10.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch (01.10.2023) |
| RM05 |
Pain management QM-Handbuch (20.10.2021) |
| RM06 |
Fall prophylaxis QM-Handbuch (30.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (14.11.2023) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch (11.10.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch (22.11.2022) |
| 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 QM-Handbuch (20.10.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch (20.10.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (16.08.2024) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch (23.11.2023) |
| RM18 |
Discharge management QM-Handbuch (09.04.2024) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Nutzung von Patientenarmbänder CIRS - System M+M- Konferenzen Fachübergreifende Qualitätszirkel Regelmäßige Interne Audits
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 20.10.2021 |
| 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: halbjährlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |
| EF14 |
CIRS Health Care |