Dealing with risks in patient care
Quality management
Tina Bom und Ramona Rupp
Qualitätsmanagementbeauftragte
Paul-Zipp-Straße 171
35398 Gießen
Phone:
0641
-9606-6694
Mail:
ed.noiselpaga@MKE.mq
Qualitätsmanagement Personalmanagement Ärztlicher Dienst Pflege Medizincontrolling Haustechnik
Conference frequency: monatlich
Risk management
Tina Bom und Ramona Rupp
QMB und Risikomanagementbeauftragte
Phone:
0641
-9606-6694
Mail:
ed.noiselpaga@MKE.mq
CIRS-Basisteam, QM-Beauftragte (AGAPLESION XB), QM-Team, Geschäftsführer, Pflegedirektor, Ärztliches Direktorium
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available roXtra (18.01.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management roXtra (14.09.2022) |
| RM05 |
Pain management roXtra (29.08.2023) |
| RM06 |
Fall prophylaxis roXtra (04.02.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) roXtra (28.05.2020) |
| RM08 |
Regulated handling of custodial measures roXtra (20.07.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices roXtra (27.07.2021) |
| 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 roXtra (28.03.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings roXtra (01.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups roXtra (31.05.2022) |
| RM17 |
Standards for recovery and postoperative care roXtra (04.05.2020) |
| RM18 |
Discharge management roXtra (02.08.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Patientenidentifikationsarmband; Patientensicherheitsfilm; Patientensicherheitstag im September; M&M Konferenzen Patientensicherheitsbeauftragung
| No. | Explanation |
|---|---|
| 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 Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |