Dealing with risks in patient care

Quality management

Stephan Schmitz

Qualitätsmanagementbeauftragter

Gladbacher Strasse 26
40219 Düsseldorf

Phone: 0211 -917-1324
Mail: ed.frodlesseud-sunitram@ztimhcs.s

Conference frequency:

Risk management

Stephan Schmitz

Qualitätsmanagementbeauftragter

Phone: 0211 -917-1324
Fax: 0211-917-1244
Mail: ed.frodlesseud-sunitram@ztimhcs.s

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

QM Handbuch (31.12.2021)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Regelungen zu Schwerer Notfall / Reanimation (06.07.2021)

RM05

Pain management

Akutschmerzdienst Schmerztherapie Standards (06.07.2021)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe in der Pflege (08.05.2021)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Expertenstandard Dekubitusprophylaxe in der Pflege (22.08.2021)

RM08

Regulated handling of custodial measures

Freiheitsentziehende Maßnahmen (06.07.2021)

RM09

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medizintechnik (21.01.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Beschreibung Vorkehrungen zur Verhinderung von Patientenverwechslungen (06.07.2021)

RM18

Discharge management

Entlassmanagement durch die integrierte Pflege- und Sozialberatung (02.09.2020)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Einführung eines Patientenarmbandes zur Vermeidung von Patientenverwechslungen. Einführung einer präoperativen Checkliste

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 09.05.2022

IF02

Internal evaluation of the received reports

taken jährlich

IF03

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken jährlich

Conference committee

Conference frequency: