Dealing with risks in patient care
Quality management
Katrin Stapenhorst
Leiterin Abteilung Qualitätsmanagement ab 01.01.2023
Am Schlossgarten 10
48249 Dülmen
Phone:
02541
-8914123-
Mail:
ed.dlefseoc-ctc@tsrohnepats.nirtak
Mitglieder der QM-Steuerungsgruppe: Krankenhausleitung der Christophorus Kliniken, Krankenhausleitung der Christophorus Klinik am Schlossgarten, Ltg. der Abt. QM nimmt grundsätzlich an den Sitzungen teil.
Conference frequency: monatlich
Risk management
Katrin Stapenhorst
Leiterin Abteilung Qualitätsmanagement ab 01.01.2023
Am Schlossgarten 10
48249 Dülmen
Phone:
02541
-8914123-
Mail:
ed.dlefseoc-ctc@tsrohnepats.nirtak
CIRS-Gruppe bestehend aus Mitarbeitenden der Medizin, Pflege, Technik, Qualitätsmanagement sowie die Steuerungsgruppe Qualitätsmanagement der Kliniken.
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Herzalarm am KaS-Standort Dülmen (Ablauforganisation) (26.02.2024) |
| RM06 |
Fall prophylaxis Ablaufschema zur Sturzprophylaxe (11.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Ablaufschema zur Dekubitusprophylaxe (02.07.2021) |
| RM08 |
Regulated handling of custodial measures Pflegestandard Fixierung eines Patienten (22.03.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Umsetzen des Medizinprodukterecht-Durchführungsgesetz - MPDG (20.10.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Entlassungsmanagement (20.10.2020) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Z. B. Maßnahmen zur Sicherstellung der medikamentösen Therapie
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.08.2021 |
| 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 bei Bedarf |
Conference committee
Conference frequency: andere Frequenz
| 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) |