Dealing with risks in patient care
Quality management
Vorstand (Kfm. Direktion, Pflegedirektion), Pflegedienstleitung, QM-Team
Conference frequency: wöchentlich
Risk management
Vorstand (Kfm. Direktion, Pflegedirektion), Pflegedienstleitung, QM-Team
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Lenkung von Dokumenten und Aufzeichnungen (15.11.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Lenkung von Dokumenten und Aufzeichnungen; Umgang mit CiB (30.08.2022) |
| RM05 |
Pain management Schmerzkonzept Diakonie (09.07.2021) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (12.10.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (30.10.2023) |
| RM08 |
Regulated handling of custodial measures Fixierung von Patienten (12.10.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Vorkommnismanagement, Korrektur- und Vorbeugemaßnahmen (09.11.2022) |
| 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 Hämotherapie / Transfusion (07.07.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Lenkung von Dokumenten und Aufzeichnungen (02.06.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Prävention von Eingriffsverwechselungen / OP-Checkliste (06.11.2023) |
| RM17 |
Standards for recovery and postoperative care Lenkung von Dokumenten und Aufzeichnungen (23.11.2022) |
| RM18 |
Discharge management Ablauforganisation Entlassmanagement (07.10.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Gemeldete Fehler werden unverzüglich analysiert. Das Ergreifen von Maßnahmen ist abhängig vom jeweils gemeldeten Ereignis.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.11.2022 |
| 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: wöchentlich
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |