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 2021-2022 (01.02.2021) |
| RM04 |
Clinical emergency management QM Handbuch 2021-2022 (01.02.2021) |
| RM05 |
Pain management QM Handbuch 2021-2022 (01.02.2021) |
| RM06 |
Fall prophylaxis QM Handbuch 2021-2022 (01.02.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM Handbuch 2021-2022 (01.02.2021) |
| RM08 |
Regulated handling of custodial measures QM Handbuch 2021-2022 (01.02.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Handbuch 2021-2022 (01.02.2021) |
| 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 2021-2022 (01.02.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings QM Handbuch 2021-2022 (01.02.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM Handbuch 2021-2022 (01.02.2021) |
| RM17 |
Standards for recovery and postoperative care QM Handbuch 2021-2022 (01.02.2021) |
| RM18 |
Discharge management QM Handbuch 2021-2022 (01.02.2021) |
Fault reporting systems
Conference committee
Conference frequency:
Measures
| No. | Explanation |
|---|
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |