Dealing with risks in patient care

Quality management

Ute Gräf

Qualitätsmanagementbeauftragte Diakonie Klinikum

Wichernstraße 40
57074 Siegen

Phone: 0271 -333-40560
Mail: ed.ws-einokaid@mukinilk.mq

Verwaltungsdirektoren, Pflegedirektion, Geschäftsführung, ärztliche Direktoren - gemeinsame Sitzungen im Diakonie Klinikum

Conference frequency: halbjährlich

Risk management

Ute Gräf

Qualitätsmanagementbeauftragte Diakonie Klinikum

Phone: 0271 -333-40560
Fax: 0271-333-6503
Mail: ed.ws-einokaid@mukinilk.mq

Verwaltungsdirektoren, Pflegedirektion, Geschäftsführung, ärztliche Direktoren - gemeinsame Sitzungen im Diakonie Klinikum

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

QMH im Doku@Web (20.06.2024)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QMH im Doku@Web (20.06.2024)

RM05

Pain management

QMH im Doku@Web (20.06.2024)

RM06

Fall prophylaxis

QMH im Doku@Web (20.06.2024)

RM07

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

QMH im Doku@Web (20.06.2024)

RM08

Regulated handling of custodial measures

QMH im Doku@Web (20.06.2024)

RM09

Regulated handling of occurring malfunctions of devices

QMH im Doku@Web (20.06.2024)

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

RM16

Procedure to avoid procedural and patient mix-ups

QMH im Doku@Web (20.06.2024)

RM17

Standards for recovery and postoperative care

QMH im Doku@Web (20.06.2024)

RM18

Discharge management

QMH im Doku@Web (20.06.2024)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

Medikationsmodul neu im Krankenhausinformationssystem

No. Explanation
IF01

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

As of: 20.06.2024

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: