Dealing with risks in patient care
Quality management
Margret Wiegmann
Qualitätsbeauftragte
Oertzeweg 24
30851 Langenhagen
Phone:
0511
-7794-818
Mail:
ed.dkp@nnamgeiw.tergram
Klinikleitung
Conference frequency: wöchentlich
Risk management
Susanne Blinn
Leitung Geschäftsbereich Qualität
Oertzeweg 24
30851 Langenhagen
Phone:
0151
-58704868-
Mail:
ed.dkp@nnilb.ennasus
Klinikleitung
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Reanimationsplan (17.10.2022) |
| RM05 |
Pain management Pflegestandard Schmerzmanagement (05.05.2021) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (12.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (12.07.2022) |
| RM08 |
Regulated handling of custodial measures Ärztliche Anordnung zur Fixierung eines Patienten (03.06.2021) |
| 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 Team time out (08.06.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Team time out (28.02.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Team time out (28.02.2023) |
| RM17 |
Standards for recovery and postoperative care Patientenversorgung im Aufwachraum (15.07.2021) |
| RM18 |
Discharge management Entlassungsmanagement (07.01.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Critical Incident Reporting System (CIRS)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.02.2021 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| 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: 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) |