Dealing with risks in patient care
Quality management
Herr Alfred Haas
Zentral-Qualitätsmanagementbeauftragter
Karolina-Burger-Straße 51 51
67065 Ludwigshafen
Phone:
0621
-5501-2395
Mail:
ed.suahneknarkneiram-ts@saah.derfla
Direktorium, Qualitäts- und Risikomanagement Kommission
Conference frequency: monatlich
Risk management
Volker Boettcher
Zentral-Risikomanagementbeauftragter
Karolina-Burger-Straße 51 15
67065 Ludwigshafen
Phone:
0621
-5501-2173
Fax: 0621-5501-2266
Mail:
ed.suahneknarkneiram-ts@rehctteob.reklov
Direktorium, Qualitäts- und Risikomanagement Kommission
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (02.11.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch (02.11.2022) |
| RM05 |
Pain management Qualitätsmanagementhandbuch (02.11.2022) |
| RM06 |
Fall prophylaxis Qualitätsmanagementhandbuch (02.11.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagementhandbuch (02.11.2022) |
| RM08 |
Regulated handling of custodial measures Qualitätsmanagementhandbuch (02.11.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch (02.11.2022) |
| 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 Qualitätsmanagementhandbuch (02.11.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagementhandbuch (02.11.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagementhandbuch (02.11.2022) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagementhandbuch (02.11.2022) |
| RM18 |
Discharge management Qualitätsmanagementhandbuch (02.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Es gibt klare Regelungen im Umgang mit Fehlermeldesystemen, wann welche Methode anzuwenden ist (Verbesserungsvorschlag, Beschwerdemanagement, CIRS, Schadensfall, Patientensturz).
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 02.11.2021 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken monatlich |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |