Dealing with risks in patient care
Quality management
Eva Badinski
Leitung Qualitäts- und Risikomanagement
Jakobstr. 27-31
50678 Köln
Phone:
0221
-3308-5480
Mail:
ed.nehcretseolksnireves@iksnidabe
Alle Bereiche
Conference frequency: bei Bedarf
Risk management
Eva Badinski
Leitung Qualitäts- und Risikomanagement
Phone:
0221
-3308-5480
Mail:
ed.nehcretseolksnireves@iksnidabe
CIRS-Team aus Mitarbeitern der Ärzte, Pflegefachkräfte und Mitarbeitenden des Qualitäts- und Risikomanagements
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM/RM Dokumentation (15.11.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM/RM Dokumentation (15.11.2021) |
| RM05 |
Pain management QM/RM Dokumentation (15.11.2021) |
| RM06 |
Fall prophylaxis QM/RM Dokumentation (15.11.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM/RM Dokumentation (15.11.2021) |
| RM08 |
Regulated handling of custodial measures QM/RM Dokumentation (15.11.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM/RM Dokumentation (15.11.2021) |
| 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 Name: Operative Sicherheitscheckliste (gem. WHO) (16.12.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Name: Operative Sicherheitscheckliste (gem. WHO) (16.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM/RM Dokumentation und operative Sicherheitscheckliste (16.12.2022) |
| RM17 |
Standards for recovery and postoperative care QM/RM Dokumentation (15.11.2021) |
| RM18 |
Discharge management QM/RM Dokumentation (15.11.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Einleitung von Verbesserungsmaßnahmen durch das CIRS-Team beispielsweise in Form von Fortbildungen/Memoranden, Optimierung von Prozessbeschreibungen/Checklisten, Anschaffung von Hilfsmitteln
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.02.2020 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |