Dealing with risks in patient care
Quality management
Herr Dr. Jan-Andreas Baumann
Leitung Qualitäts- und Risikomanagement
Am Finkenhügel 1
49076 Osnabrück
Phone:
0541
-405-5376
Mail:
ed.so-mukinilk@nnamuab.saerdnanaj
Conference frequency:
Risk management
Jan-Andreas Baumann
Leitung Qualitäts- und Risikomanagement
49028 Osnabrück
Phone:
0541
-405-5376
Fax: 0541-405-1099
Mail:
ed.so-mukinilk@nnamuab.saerdnanaj
Jan-Andreas Baumann
Leitung Qualitäts- und Risikomanagement
49028 Osnabrück
Phone:
0541
-405-5376
Fax: 0541-405-1099
Mail:
ed.so-mukinilk@nnamuab.saerdnanaj
Risikomanagement Kernteam: Ärztliche Direktion, Pflegedirektion, Ltg Personal und Recht Ltg Betriebswirtschaft und Finanzen Ltg Services und Technologien Ltg Projektmanagement Ltg Risikomanagemenet Abteilung für Krankenhaushygiene Betriebsrat Interne Revision Compliance-Beauftragte
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch (16.08.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Organisationshandbuch (16.08.2023) |
| RM05 |
Pain management Organisationshandbuch (16.08.2023) |
| RM06 |
Fall prophylaxis Organisationshandbuch (16.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Organisationshandbuch (16.08.2023) |
| RM08 |
Regulated handling of custodial measures Organisationshandbuch (16.08.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch (16.08.2023) |
| 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 Organisationshandbuch (16.08.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Organisationshandbuch (16.08.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Organisationshandbuch (16.08.2023) |
| RM17 |
Standards for recovery and postoperative care Organisationshandbuch (16.08.2023) |
| RM18 |
Discharge management Organisationshandbuch (16.08.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
ja
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.08.2022 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
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) |