Dealing with risks in patient care

Quality management

Markus Lingott

Qualitäts- und Risikomanager

Weinbergstraße 7
34117 Kassel

Phone: 0561 -7201-474
Mail: ed.sk-hke@ttognilm

Sonja Pfeil

Qualitäts- und Risikomanager

Weinbergstraße 7
34117 Kassel

Phone: 0561 -7201-673
Mail: ed.lessak-suahneknark-htebasile@liefPS

Christian Kuhn

Qualitäts- und Risikomanager

Weinbergstraße 7
34117 Kassel

Phone: 0561 -7201-474
Mail: ed.lessak-suahneknark-htebasile@nhukc

Vertreter aus allen Ebenen, fachabteilungs- und funktionsübergreifend

Conference frequency: quartalsweise

Risk management

Markus Lingott

QMB

Weinbergstraße 7
34117 Kassel

Phone: 0561 -7201-474
Mail: ed.sk-hke@ttognilm

Sonja Pfeil

QMB

Weinbergstraße 7
34117 Kassel

Phone: 0561 -7201-673
Fax: 0561-7201-611
Mail: ed.lessak-suahneknark-htebasile@liefPS

Christian Kuhn

Qualitäts- und Risikomanager

Weinbergstraße 7
34117 Kassel

Phone: 0561 -7201-474
Fax: 0561-7201-611
Mail: ed.lessak-suahneknark-htebasile@nhukc

QMB, OÄin Chirurgie, Pflegedirektorin, Verwaltungsleitung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Konzept zum Risikomanagement (12.05.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Konzept zum Risikomanagement (12.05.2022)

RM05

Pain management

Konzept zum Risikomanagement (12.05.2022)

RM06

Fall prophylaxis

Konzept zum Risikomanagement (12.05.2022)

RM07

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

Konzept zum Risikomanagement (12.05.2022)

RM08

Regulated handling of custodial measures

Konzept zum Risikomanagement (12.05.2022)

RM09

Regulated handling of occurring malfunctions of devices

Konzept zum Risikomanagement (12.05.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
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

Konzept zum Risikomanagement (12.05.2022)

RM15

Preoperative, complete presentation of necessary findings

Konzept zum Risikomanagement (12.05.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Konzept zum Risikomanagement (12.05.2022)

RM17

Standards for recovery and postoperative care

Konzept zum Risikomanagement (12.05.2022)

RM18

Discharge management

Konzept zum Risikomanagement (12.05.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Überarbeitung Prae-OP-Checkliste, Erstellung Verfahrensanweisungen uvm

No. Explanation
IF01

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

As of: 12.05.2020

IF02

Internal evaluation of the received reports

taken monatlich

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: andere Frequenz

No. Explanation
EF14

CIRS Health Care