Dealing with risks in patient care
Quality management
Karin vom Holt
Qualitätsmanagementbeauftragte
Klostenstrasse 19
77933 Lahr
Phone:
0781
-472-4950
Mail:
ed.mukinilk-uanetro@tnemeganamsteatilauq
3 Mitarbeitende aus dem Ärztlichen Dienst, 2 Mitarbeitende aus dem Pflegedienst, 2 Mitarbeitende aus dem Verwaltungsdienst
Conference frequency: andere Frequenz
Risk management
Karin vom Holt
Qualitätsmanagementbeauftragte
Klostenstraße 19
77931 Lahr
Phone:
0781
-472-4950
Fax: 0781-472-4902
Mail:
ed.mukinilk-uanetro@tnemeganamsteatilauq
Ärztlicher Vorstand, Pflegerische Vorständin, Mitarbeitende aus dem Risikomanagements
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikopolitik; Konzept zum Risikomanagement (24.06.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Cardiopulmonale Reanimation und Organisation des CPR-Teams (01.09.2021) |
| RM05 |
Pain management VA Schmerzmanagement (11.03.2019) |
| RM06 |
Fall prophylaxis VA Sturzmanagement (24.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusmanagement (24.08.2022) |
| RM08 |
Regulated handling of custodial measures VA ZEN Zwangsmaßnahmen (30.07.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung für den Betrieb von aktiven, nicht implantierbaren Medizinprodukten (12.02.2023) |
| 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 VA OP-Vorbereitung (13.09.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Checkliste Schleußenvorgang, OP-Checkliste (21.12.2020) |
| RM17 |
Standards for recovery and postoperative care VA Post-OP (18.10.2018) |
| RM18 |
Discharge management Prozess Entlassmanagement (15.09.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Etablierung des Konzeptes "STOP-CHECK-INJEKT"
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 07.07.2022 |
| 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 monatlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |