Dealing with risks in patient care

Quality management

Diepholtz Theresa

Qualitätsmanagementbeauftragte

Bahnhofstraße 16
97769 Bad Brückenau

Phone: 09741 -898-4387
Mail: ed.orucseh@ztlohpeid.asereht

alle Abteilungen

Conference frequency: bei Bedarf

Risk management

Diepholtz Theresa

Qualitätsmanagementbeauftragte

Phone: 09741 -898-4387
Fax: 09741-898-1009
Mail: ed.orucseh@ztlohpeid.asereht

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

BITqms (23.09.2024)

RM04

Clinical emergency management

Verfahrensanweisung interne Notfallsituationen D40305 (10.05.2024)

RM05

Pain management

BITqms (23.09.2024)

RM06

Fall prophylaxis

Pflegestandard Sturzprophylaxe D15940 (10.10.2022)

RM07

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

Dekubitus (Expertenstandard) D29251 (01.07.2021)

RM08

Regulated handling of custodial measures

Einleitung freiheitsentziehender Maßnahmen D25545 (25.10.2022)

RM09

Regulated handling of occurring malfunctions of devices

BITqms (23.09.2024)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • interdisziplinäre Fallbesprechungen
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 (23.09.2024)

RM15

Preoperative, complete presentation of necessary findings

BITqms (23.09.2024)

RM16

Procedure to avoid procedural and patient mix-ups

Vermeidung von Patientenverwechslung D15866 (23.02.2023)

RM17

Standards for recovery and postoperative care

BITqms (23.09.2024)

RM18

Discharge management

BITqms (23.09.2024)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

- Patientenidentifikationsarmbänder - Time Out-Formular für OP

No. Explanation
IF01

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

As of: 26.06.2024

IF02

Internal evaluation of the received reports

taken monatlich

Conference committee

Conference frequency: jährlich

No. Explanation

Other