Dealing with risks in patient care
Quality management
Thomas Blechschmidt
QMB/ OP-Leiter
Am Hopfengarten 16
36251 Bad Hersfeld
Phone:
06621
-6506-404
Mail:
ed.feh-eideapohtro@tdimhcshcelb.samoht
Qualitätszirkel
Conference frequency: quartalsweise
Risk management
AG Risikomanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Konzept Notfallwesen (26.10.2022) |
| RM05 |
Pain management Schmerzmanagement (04.01.2022) |
| RM06 |
Fall prophylaxis Standard Sturz (19.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitus (22.02.2022) |
| RM08 |
Regulated handling of custodial measures Mechanische Fixierung (22.02.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Technische Geräte (01.06.2022) |
| 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 VR Vor- und Nachbereitung von OP, SOP Standard für die Stationen (08.03.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings SOP Präoperative Pflege, SOP Aufnahme von Patienten, Behandlungspfade (22.02.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP Einschleusen, Team-Time Out Checkliste in OP-Software, VR Patientenidentifikationsarmbänder (13.04.2021) |
| RM17 |
Standards for recovery and postoperative care Standard Aufwachraum, SOP Übernahme aus dem Aufwachraum, SOP Postoperative Pflege (22.02.2022) |
| RM18 |
Discharge management SOP Entlassung, Behandlungspfade (22.02.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einführung eines Critical Incident Reporting System (CIRS) im November 2015.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.11.2015 |
| 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 bei Bedarf |
Conference committee
Conference frequency: