Dealing with risks in patient care
Quality management
Peter Falkenhagen
Qualitätsmanagementbeauftragter
Gustav-Adolf-Straße 15 a
04849 Bad Düben
Phone:
034243
-76-2052
Mail:
ed.nilcidem@negahneklaf.retep
Beteiligung aller Mitglieder der Klinikleitung und des Qualitätsmanagementbeauftragten
Conference frequency: halbjährlich
Risk management
Stephan Mohr
Risikomanagement
Phone:
034243
-76-1610
Fax: 034243-76-1631
Mail:
ed.nilcidem@rhom.nahpets
Anlassbezoge Teilnehmerauswahl
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagement-Handbuch (08.12.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagement-Handbuch (08.12.2022) |
| RM05 |
Pain management Qualitätsmanagement-Handbuch (08.12.2022) |
| RM06 |
Fall prophylaxis Qualitätsmanagement-Handbuch (08.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagement-Handbuch (08.12.2022) |
| RM08 |
Regulated handling of custodial measures Qualitätsmanagement-Handbuch (08.12.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagement-Handbuch (08.12.2022) |
| 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 Qualitätsmanagement-Handbuch (08.12.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagement-Handbuch (08.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagement-Handbuch (08.12.2022) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagement-Handbuch (08.12.2022) |
| RM18 |
Discharge management Qualitätsmanagement-Handbuch (08.12.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Verträglichkeits- und Therapieerfolgskontrolle bei Medikamenten (Berichterstattung bei Auftreten unerwünschter Arzneimittelwirkungen) Teilnahme am Endoprothesenregister Deutschland
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 03.03.2020 |
| 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 jährlich |
Conference committee
Conference frequency: