Dealing with risks in patient care
Quality management
Janine Meissner
Qualitätsmanagementbeauftragte
Wiedenbrücker Straße 33
59555 Lippstadt
Phone:
02941
-671268-
Mail:
ed.suahneknark-ve@renssiem.j
Geschäftsführung, ärztlicher Direktor , Qualitätsmanagement, Pflegedirektion, Referentin der Krankenhausbetriebsleitung, MAV
Conference frequency: monatlich
Risk management
Janine Meissner
Qualitätsmanagementbeauftragte
59555 Lippstadt
Phone:
02941
-671268-
Mail:
ed.suahneknark-ve@renssiem.j
Geschäftsführung, ärztlicher Direktor , Qualitätsmanagement, Pflegedirektion, Referentin der Krankenhausbetriebsleitung, MAV
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dokumentenportal roxtra (29.10.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management SOP (01.06.2022) |
| RM05 |
Pain management SOP (01.06.2022) |
| RM06 |
Fall prophylaxis Expertenstandard (01.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard (01.04.2022) |
| RM08 |
Regulated handling of custodial measures SOP (07.11.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices MPG Handbuch (11.04.2022) |
| 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 SOP (23.05.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP Sicherheitscheckliste (23.05.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP (23.05.2022) |
| RM17 |
Standards for recovery and postoperative care OP Sicherheitscheckliste (23.05.2022) |
| RM18 |
Discharge management Expertenstandard (14.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
CIRS Fallkonferenzen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2018 |
| 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:
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association) |