Dealing with risks in patient care

Quality management

Heike Brost

Stv. Pflegedienstleitung

Alphonsstr. 14
22043 Hamburg

Phone: 040 -67377-298
Mail: ed.tfitsmlehliw-hkk@tsorb.h

Chefärzte, Direktorium, QM Steuerungsgruppe

Conference frequency: quartalsweise

Risk management

Heike Brost

Stv. Pflegedienstleitung

Alphonsstraße 14
22043 Hamburg

Phone: 040 -67377-298
Mail: ed.tfitsmlehliw-hkk@tsorb.h

s. QM Verantwortung

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

QM Handbuch (22.11.2023)

RM04

Clinical emergency management

QM Handbuch (22.11.2023)

RM05

Pain management

QM Handbuch (22.11.2023)

RM06

Fall prophylaxis

QM Handbuch (22.11.2023)

RM07

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

QM Handbuch (22.11.2023)

RM08

Regulated handling of custodial measures

QM Handbuch (22.11.2023)

RM09

Regulated handling of occurring malfunctions of devices

QM Handbuch (22.11.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
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 (22.11.2023)

RM15

Preoperative, complete presentation of necessary findings

QM Handbuch (22.11.2023)

RM16

Procedure to avoid procedural and patient mix-ups

QM Handbuch (02.03.2022)

RM17

Standards for recovery and postoperative care

QM Handbuch (22.11.2023)

RM18

Discharge management

QM Handbuch (22.11.2023)

Fault reporting systems

Conference committee

Conference frequency:

Measures

No. Explanation
Conference committee

Conference frequency: halbjährlich

No. Explanation
EF03

KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)