Dealing with risks in patient care
Quality management
Peter Voss
Qualitätsmanagementbeauftragter
Auf dem Schafsberg -
65549 Limburg
Phone:
06431
-292-4838
Mail:
ed.znecniv-ts@ssov.p
Krankenhausdirektorium
Conference frequency: monatlich
Risk management
Peter Voss
Qualitätsmanagementbeauftragter
Phone:
06431
-292-4838
Fax: 06431-292-4118
Mail:
ed.znecniv-ts@ssov.p
Auswertungsteam CIRS Betriebsvereinbarung CIRS Mitarbeiterschulungen CIRS Externe Risikoaudits
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (15.11.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch (15.11.2021) |
| RM05 |
Pain management QM-Handbuch (15.11.2021) |
| RM06 |
Fall prophylaxis QM-Handbuch (15.11.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (15.11.2021) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch (15.11.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch (15.11.2021) |
| 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 QM-Handbuch (15.11.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch (15.11.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (15.11.2021) |
| RM17 |
Standards for recovery and postoperative care QM-Handbuch (15.11.2021) |
| RM18 |
Discharge management QM-Handbuch (15.11.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
- Umsetzung der WHO OP-Checkliste - regelmäßige Begehungen / Audits (Hygiene, Arzneimittel, Transfusion, etc.)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 02.01.2019 |
| 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 jährlich |
Conference committee
Conference frequency: