Dealing with risks in patient care
Quality management
Nicole Dittrich
Qualitätsmanagementbeauftragte
Robert-Koch-Straße 3
34376 Immenhausen
Phone:
05673
-501-1620
Mail:
ed.nesuahnemmi-kinilkhcafnegnul@hcirttid.n
Geschäftsführung, Ärztlicher Leiter, Pflegedienstleitung, CT/Röntgen, Lungenfunktion, Endoskopie, Sozialdienst, Küche, Physiotherapie, Hauswirtschaft, Haustechnik, EDV, Personalabteilung, Patientenverwaltung, Controlling
Conference frequency: andere Frequenz
Risk management
Nicole Dittrich
Qualitätsmanagementbeauftragte
Phone:
05673
-501-1620
Mail:
ed.nesuahnemmi-kinilkhcafnegnul@hcirttid.n
Geschäftsführung, Ärztlicher Leiter, Pflegedienstleitung, CT/Röntgen, Lungenfunktion, Endoskopie, Sozialdienst, Küche, Physiotherapie, Hauswirtschaft, Haustechnik, EDV, Personalabteilung, Patientenverwaltung, Controlling
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (04.04.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch (04.04.2019) |
| RM05 |
Pain management QM-Handbuch (04.04.2019) |
| RM06 |
Fall prophylaxis QM-Handbuch (04.04.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (04.04.2019) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch (04.04.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch (04.04.2019) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (04.04.2019) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch (04.04.2019) |
| RM18 |
Discharge management QM-Handbuch (04.04.2019) |
Fault reporting systems
Conference committee
Conference frequency: jährlich
Measures
Aushändigung von Patientenidentifikationsbändern bei Aufnahme, Implementierung einer„Fehlersammelkarte“ im Funktionsbereich Lungenfunktion (weitere Funktionsbereiche in Planung), Durchführung von FMEA in allen relevanten Funktionsbereichen in Planung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.04.2019 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: andere Frequenz
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |