Dealing with risks in patient care
Quality management
Sebastian Lasczok
Kaufmännischer Direktor
Augustastraße 8
46419 Isselburg
Phone:
02874
-46-8408
Mail:
ed.renaixela@kozcsal.s
Betriebsleitung, Qualitätsmanagementleitung
Conference frequency: andere Frequenz
Risk management
Sebastian Lasczok
Kaufmännischer Direktor
Augustastraße 8
46419 Isselburg
Phone:
02874
-46-8408
Fax: 02874-46-7408
Mail:
ed.renaixela@kozcsal.s
Betriebsleitung + QML mit unterstützenden Mitarbeitern
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Handbuch (11.10.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM Handbuch (11.10.2023) |
| RM05 |
Pain management QM Handbuch (11.10.2023) |
| RM06 |
Fall prophylaxis QM Handbuch (11.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM Handbuch (11.10.2023) |
| RM08 |
Regulated handling of custodial measures QM Handbuch (11.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Handbuch (11.10.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management QM Handbuch (11.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Das Qualitäts- und Risikomanagement reagiert sowohl auf int. als auch auf ext. Meldungen. Eine Entscheidung wird durch das Gremium schnell erarbeitet und über das QM/RM umgesetzt. Eine Wirksamkeitskontrolle der umgesetzten Maßnahmen erfolgt zeitnah.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.10.2023 |
| 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: monatlich
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association) |