Dealing with risks in patient care
Quality management
Martin Lembcke
Leiter Organisationsentwicklung
Horkaer Straße 15-21
02929 Rothenburg
Phone:
03722
-46937-60
Mail:
noitadnuof.einokaid@ekcbmel.nitram
Geschäftsführung, Ärztlicher Dienst, Pflegedienst, Verwaltungsdienst, Mitarbeitervertretung, Leiter EndoProthetikZentrum, Koordinator EndoProthetikZentrum, QMB EndoProtetikZentrum
Conference frequency: halbjährlich
Risk management
Sarah Klawuhn
Hygienefachkraft
Horkaer Straße 15-21
02929 Rothenburg
Phone:
035891
-42-219
Mail:
noitadnuof.einokaid@nhuwalk.haras
Hygienefachkraft, Ärztlicher Dienst, Abteilung Technik
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dienstanweisung (24.07.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Dienstanweisung (01.08.2023) |
| RM05 |
Pain management Dienstanweisung (08.07.2024) |
| RM06 |
Fall prophylaxis Dienstanweisung (23.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard (23.01.2023) |
| RM08 |
Regulated handling of custodial measures Pflegestandard (26.01.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung (19.07.2023) |
| 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 Dienstanweisung (11.06.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Dienstanweisung (25.05.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Dienstanweisung (11.06.2024) |
| RM17 |
Standards for recovery and postoperative care Dienstanweisung (08.07.2024) |
| RM18 |
Discharge management Dienstanweisung (23.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Aktualisierung Konzept Patientensicherheit, Anpassung des Patientenbriefes "Stationäre Aufnahme"
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 24.07.2023 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: