Dealing with risks in patient care
Quality management
Ulrich Kiefer
Qualitäts- u. Risikomanager
Trierer Straße 148
66663 Merzig
Phone:
06861
-705-1627
Mail:
ed.nekinilk-ghs.gzm@refeik.u
Qualitäts-/Risikomanager Ärztlicher Direktor u. Stellvertreter Pflegedirektor u. Stellvertreterin Verwaltungsdirektor
Conference frequency: wöchentlich
Risk management
Ulrich Kiefer
Qualitäts- u. Risikomanager
Phone:
06861
-705-1627
Fax: 06861-705-1810
Mail:
ed.nekinilk-ghs.gzm@refeik.u
Qualitäts-/Risikomanager Ärztlicher Direktor u. Stellvertreter Pflegedirektor u. Stellvertreterin Verwaltungsdirektor
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM u. RM Dokumentenlenkungssystem "Nexus-Curator" (11.10.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA - Internes Notfallmanagement (11.10.2024) |
| RM05 |
Pain management Expertenstandard "Akuter Schmerz" (11.10.2024) |
| RM06 |
Fall prophylaxis Expertenstandard "Sturzphrophylaxe" (11.10.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe in der Pflege auf Grundlage des nationalen Expertenstandards nach DNQP (11.10.2024) |
| RM08 |
Regulated handling of custodial measures SOP - Vorgehen bei Unterbringungen und freiheitsentziehenden Maßnahmen (02.04.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (11.10.2024) |
| 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 WHO angelehnte OP-Sicherheits-Checkliste (31.05.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO angelehnte OP-Sicherheits-Checkliste (31.05.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups WHO angelehnte OP-Sicherheits-Checkliste (31.05.2024) |
| RM17 |
Standards for recovery and postoperative care Behandlung im Aufwachraum (11.10.2024) |
| RM18 |
Discharge management Expertenstandard "Entlassmanagement" (11.10.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Softwaregestützte Erfassung von Beinahe-Vorkommnissen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.10.2023 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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 |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |