Dealing with risks in patient care
Quality management
Petra Pahl
QM-Beauftragte
Norderstr. 81
25980 Sylt/OT Westerland
Phone:
04651
-841101-
Mail:
moc.soipelksa@lhap.p
Ärztlicher Direktor, Geschäftsführung, Pflegeleitung, Qualitäsmanagement, Betriebsrat, Controlling, Personalabteilung
Conference frequency: quartalsweise
Risk management
Petra Pahl
QM-Beauftragte
Norderstr. 81
25980 Sylt/OT Westerland
Phone:
04651
-841101-
Mail:
moc.soipelksa@lhap.p
Ärztlicher Direktor, Geschäftsführung, Pflegeleitung, Qualitäsmanagement, Betriebsrat, Controlling, Personalabteilung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Klinisches Risikomanagement (30.05.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM-Handbuch Notfallmanagement (03.12.2021) |
| RM05 |
Pain management QM-Handbuch (23.03.2022) |
| RM06 |
Fall prophylaxis QM-Handbuch (23.07.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (28.06.2021) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch (13.10.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch (05.07.2023) |
| 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 QM-Handbuch (08.03.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch (08.03.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (20.01.2022) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch (23.03.2022) |
| RM18 |
Discharge management QM-Handbuch (05.10.2021) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Schulung und Sensibilisierung der Mitarbeiter zum Umgang mit Drei-Wege-Hahn SwabCabs an ZVK.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.06.2022 |
| 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 jährlich |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |