Dealing with risks in patient care
Quality management
Petra Hofer
Qualitäts- und Risikomanagement
Dr.-Robert-Koch-Straße 39
99734 Nordhausen
Phone:
03631
-412161-
Mail:
ed.hdn-khs@refoh.artep
Im Rahmen der Regelkommunikation mit der Geschäftsführung.
Conference frequency: wöchentlich
Risk management
Petra Hofer
Qualitäts- und Risikomanagement
Dr.-Robert-Koch-Straße 39
99734 Nordhausen
Phone:
03631
-412161-
Mail:
ed.hdn-khs@refoh.artep
Im Rahmen der Regelkommunikation mit der Geschäftsführung.
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available bspw. QM-Handbücher (28.03.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Verfahrensanweisung "Regime für den akuten Patientennotfall" (28.05.2021) |
| RM05 |
Pain management Verfahrensanweisung "Schmerzmanagement" (21.09.2020) |
| RM06 |
Fall prophylaxis Verfahrensanweisung "Sturzprophylaxe" (25.08.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung "Dekubitusprophylaxe" (01.12.2018) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung „Freiheitsentziehende Maßnahmen“ und Bestanteil der internen Fort- und Weiterbildung. (01.11.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices bspw. QM-Handbücher (28.03.2023) |
| 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 bspw. QM-Handbücher (28.03.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings bspw. QM-Handbücher (28.03.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung "Patientenarmband" (15.06.2015) |
| RM17 |
Standards for recovery and postoperative care bspw. QM-Handbücher (28.03.2023) |
| RM18 |
Discharge management Verfahrensanweisung Entlassmanagement (01.10.2017) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Patientenarmband eingeführt und Abläufe optimiert
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 21.09.2023 |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken halbjährlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |