Dealing with risks in patient care

Quality management

Frank Iwanowski

Leitung Stabsstelle Qualitäts- und klinisches Risikomanagement

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3425
Mail: ed.nevahremerb-mukinilk@ikswonawi.knarf

Geschäftsführung, Pflegedirektion, Qualitätsmanagement, Betriebsrat, Gäste

Conference frequency: monatlich

Risk management

Frank Iwanowski

Leitung Stabsstelle Qualitäts- und klinisches Risikomanagement

Postbrookstraße 103
27574 Bremerhaven

Phone: 0471 -299-3425
Fax: 0471-299-3426
Mail: ed.nevahremerb-mukinilk@ikswonawi.knarf

Geschäftsführung, Pflegedirektion, Qualitätsmanagement, Betriebsrat, Gäste

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM Handbuch ISO 9001 (15.02.2023)

RM04

Clinical emergency management

QM Handbuch ISO 9001 (15.02.2023)

RM05

Pain management

QM Handbuch ISO 9001 (15.02.2023)

RM06

Fall prophylaxis

QM Handbuch ISO 9001 (15.02.2023)

RM07

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

QM Handbuch ISO 9001 (15.02.2023)

RM08

Regulated handling of custodial measures

QM Handbuch ISO 9001 (15.02.2023)

RM09

Regulated handling of occurring malfunctions of devices

QM Handbuch ISO 9001 (15.02.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
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

QM Handbuch ISO 9001 (15.02.2023)

RM15

Preoperative, complete presentation of necessary findings

QM Handbuch ISO 9001 (15.02.2023)

RM16

Procedure to avoid procedural and patient mix-ups

QM Handbuch ISO 9001 (15.02.2023)

RM17

Standards for recovery and postoperative care

QM Handbuch ISO 9001 (15.02.2023)

RM18

Discharge management

QM Handbuch ISO 9001 (15.02.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Einführung WHO OP-Checkliste, Sturzprophylaxe, Dekubitusprophylaxe

No. Explanation
IF01

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

As of: 28.06.2023

IF02

Internal evaluation of the received reports

taken monatlich

Conference committee

Conference frequency: