Dealing with risks in patient care

Quality management

Frau Daniela Landsch

Qualitätsmanagementbeauftragte / Risikomanagementbeauftragte

Bonner Straße 84
50389 Wesseling

Phone: 02236 -77-390
Mail: ed.gnilessew-suahneknark@tnemeganamsteatilauq

Alle Stationen, Fach- und Funktionsbereiche und Abteilungen.

Conference frequency: quartalsweise

Risk management

Daniela Landsch

Qualitätsmanagementbeauftragte / Risikomanagementbeauftragte

Phone: 02236 -77-390
Fax: 02236-77-219
Mail: ed.gnilessew-suahneknark@tnemeganamsteatilauq

Alle Stationen, Fach- und Funktionsbereiche und Abteilungen.

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (08.07.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Maßnahmen innerklinischer Notfall (29.10.2021)

RM05

Pain management

VA Schmerzmanagement (15.10.2021)

RM06

Fall prophylaxis

VA Sturzprophylaxe (05.07.2021)

RM07

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

VA Dekubitusprophylaxe (13.04.2022)

RM08

Regulated handling of custodial measures

Ärztliche Anordnung zur Fixierung / Bericht zur Fixierungsdurchführung (17.05.2022)

RM09

Regulated handling of occurring malfunctions of devices

HB Medizintechnik (10.10.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätszirkel
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

OP Checkliste (29.10.2021)

RM15

Preoperative, complete presentation of necessary findings

VA Checkliste OP-Vorbereitung (01.04.2020)

RM16

Procedure to avoid procedural and patient mix-ups

OP Checkliste (29.10.2021)

RM17

Standards for recovery and postoperative care

VA Betreuung und Überwachung von Patienten im AWR (25.02.2022)

RM18

Discharge management

VA Entlassmanagement (23.03.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

digitales CIRS Patientenidentifikation durch Patientenarmbänder / Seitenmarkierung / Checklisten Beschwerdemanagement MRE-Siegel des MRE-Netzes regio Rhein-Ahr MRSA-Eingangsscreening bei Risikogruppen Risikoaudits

No. Explanation
IF01

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

As of: 31.10.2021

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 monatlich

Conference committee

Conference frequency: monatlich

No. Explanation

Other