Dealing with risks in patient care
Quality management
Elisabeth Waltrich
QMB
Wilferdinger Straße 67
75179 Pforzheim
Phone:
07231
-498-5640
Mail:
ed.haolis@hcirtlaw.e
Pflegedienst, ärztlicher Dienst, Rechnungswesen, QRM-Abteilung integriert durch Leitung QRM in Leitungsgremium
Conference frequency: monatlich
Risk management
Pflegedienst, ärztlicher Dienst, Rechnungswesen, QRM-Abteilung integriert durch Leitung QRM in Leitungsgremium
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikopolitik und Risikostrategie (06.07.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Internes Notfallmanagement (06.07.2023) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement in der Pflege bei chronischen und akuten Schmerzen (26.08.2022) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (21.09.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (28.06.2023) |
| RM08 |
Regulated handling of custodial measures Durchführung von Zwangsmaßnahmen / Freiheitsentziehende Maßnahmen (03.01.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Regelungen zu Beschaffung und Nutzung von Medizinprodukten im Haus (20.07.2022) |
| 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 Sicherheitscheckliste OP-Bereich nach WHO (12.09.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste OP-Vorbereitung auf Station (20.03.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Nutzung von Identifikationsbändern für Patienten (07.04.2022) |
| RM17 |
Standards for recovery and postoperative care Schmerztherapie bei Erwachsenen und Kindern im Aufwachraum (27.07.2022) |
| RM18 |
Discharge management Entlassmanagement –Ärztlicher Dienst und Pflegedienst (07.06.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Änderung des Ablaufs der Schnellschnitttransporte
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 07.04.2021 |
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| 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) |