Dealing with risks in patient care
Quality management
Dr. Philipp Silwedel
Leitung Akademie / IMS
Rosenstraße 2
40882 Ratingen
Phone:
02171
-7272-347
Mail:
ed.darG063deM@ledewliS.ppilihP
Alle Abteilungsleitungen und der Betriebsrat im Rahmen der regelmäßig stattfindenden Besprechungsrunden
Conference frequency: andere Frequenz
Risk management
Philipp Silwedel
Leitung Akademie / IMS
Marie - Curie - Straße 12
51377 Leverkusen
Phone:
02171
-7272-347
Fax: 02171-7272-349
Mail:
ed.darG063deM@ledewliS.ppilihP
Alle Abteilungsleitungen und der Betriebsrat im Rahmen der regelmäßig stattfindenden Besprechungsrunden
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmanagement (AA) (28.04.2021) |
| RM05 |
Pain management Schmerzmanagement (AA) (19.10.2023) |
| RM06 |
Fall prophylaxis Sturzmanagement (AA) (19.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusmanagement (AA) (19.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (13.03.2018) |
| 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 Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023) |
| RM17 |
Standards for recovery and postoperative care Die Qualitäts- und/oder Risikomanagement- Dokumentation erfolgt über den SharePoint (24.01.2023) |
| RM18 |
Discharge management Entlassungsmanagement (AA) (17.02.2022) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Unerwartet Ereignisse werden im Rahmen von wöchentlichen Teamsitzung besprochen und konkrete Maßnahmen wurden umgesetzt.
| No. | Explanation |
|---|---|
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |