Dealing with risks in patient care

Quality management

Herr Manfred Fleck

QM-B

Dieburger Str. 31
64287 Darmstadt

Phone: 06151 -402-1400
Mail: ed.latipsoh-ecila@kcelf.derfnam

Abteilungsleitungen und Oberärzte aller Abteilungen

Conference frequency: quartalsweise

Risk management

Andreas Winter

Leitender Oberarzt

Dieburger Str. 31
64287 Darmstadt

Phone: 06151 -402-3170
Fax: 06151-402-883170
Mail: ed.nekinilkrednik@retniw.saerdna

Abteilungsleitungen und Oberärzte aller Abteilungen

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

BITQMS (08.11.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

BITQMS (08.11.2021)

RM05

Pain management

BITQMS (08.11.2021)

RM06

Fall prophylaxis

BITQMS (08.11.2021)

RM07

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

BITQMS (08.11.2021)

RM08

Regulated handling of custodial measures

BITQMS (08.11.2021)

RM09

Regulated handling of occurring malfunctions of devices

BITQMS (08.11.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
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

BITQMS (08.11.2021)

RM15

Preoperative, complete presentation of necessary findings

BITQMS (08.11.2021)

RM16

Procedure to avoid procedural and patient mix-ups

BITQMS (08.11.2021)

RM17

Standards for recovery and postoperative care

BITQMS (08.11.2021)

RM18

Discharge management

BITQMS (08.11.2021)

Fault reporting systems

Conference committee

Conference frequency: halbjährlich

Measures

Aufgrund der eingegangenen CIRS-Meldungen konnte in verschiedensten Bereichen Maßnahmen zur Steigerung der Patientensicherheit umgesetzt werden.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 08.11.2021

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 monatlich

Conference committee

Conference frequency: