Dealing with risks in patient care
Quality management
Martina Lange
Qualitätsbeauftragte
Stader Straße 203 c
21075 Hamburg
Phone:
040
-79006-0
Mail:
ed.tiehdnuseg-soileh@3egnaL.anitraM
alle Fachabteilungen
Conference frequency: monatlich
Risk management
Matthias Seack
Ärztlicher Direktor und Chefarzt der Abteilung für Unfallchirurgie und Orthopädie
Phone:
040
-79006-0
Fax: 040-79006-231
Mail:
ed.tiehdnuseg-soileh@flihairam.tairaterkes
alla Fachabteilungen
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen - https://md-bund.de/themen/pflegequalitaet/expertenstandards-in-der-pflege.html (01.06.2022) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe des Deutsches Netzwerk für Qualitätsentwicklung in der Pflege - https://www.dnqp.de/fileadmin/HSOS/Homepages/DNQP/Dateien/Expertenstandards/Sturzprophylaxe_in_der_Pflege/Sturz_2Akt_Auszug.pdf (01.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe - https://www.dnqp.de/expertenstandards-und-auditinstrumente/ (01.06.2017) |
| RM08 |
Regulated handling of custodial measures Konzernregelung und Checkliste Freiheitsentziehende Maßnahmen (12.03.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (01.06.2023) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care Fachgruppenbeschluss zur Erhebung des Early Warning Scores bei Verlegung aus dem Aufwachraum (10.03.2023) |
| RM18 |
Discharge management SOP Entlass – Management kleiner / kranker Früh- und Neugeborener (17.07.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Feedback und Dokumentationsschulung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.09.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency:
| No. | Explanation |
|---|---|
| EF08 |
CIRS Emergency Medicine (Department of Anaesthesia, Intensive Care Medicine and Emergency Medicine, Kempten Hospital) |