Dealing with risks in patient care
Quality management
A. Cornelia Bönnighausen
Vorstandsvorsitzende & Qualitätsmanagement
Hainstraße 71 - 75
35216 Biedenkopf
Phone:
06461
-77-226
Mail:
ed.fpoknedeib-krd@tairaterkes
Pflegedienstleitung, Beauftragte aus den Abteilungen/Stationen, QMB, Haustechnik, Hauswirtschaft, IT, Medizinisches und kaufmännisches Controlling, Verwaltungsleitung
Conference frequency: monatlich
Risk management
A. Cornelia Bönnighausen
Vorstandsvorsitzende & Qualitätsmanagement
35202 Biedenkopf
Phone:
06461
-77-226
Mail:
ed.fpoknedeib-krd@tairaterkes
Risikomanager, Vorstand
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomeldungen und Risikomatrix/- einschätzung (23.08.2019) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Notfall- und Reanimationsteam mit internere Notrufnummer (23.08.2019) |
| RM05 |
Pain management Visuelle Analogskala, Numerische Analogskala, Checkliste akuter Brustschmerz, tägliche Dokumentation (23.08.2019) |
| RM06 |
Fall prophylaxis Sturzrisikoerhebung bei Aufnahme und regelmäßige Reevaluation, Sturzprotokoll, Expertenstandard Wundbehandlung Dekubitus (23.08.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe in der Pflege, Bradenskala (23.08.2019) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung, Expertenstandard Freiheitsentziehende Maßnahmen inkl. SOP (23.08.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Ticketsystem zur Meldung von Fehlfunktionen an die MPG-Abteilung (23.08.2019) |
| 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 OP-Vorbereitung (Anästhesie und Operateur) (23.08.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patienten-Identifikations-Armband, Team-Time-Out, Verpflichtende Seitenangabe bei der OP-Anmeldung (23.08.2019) |
| RM17 |
Standards for recovery and postoperative care Behandlungsstandards (23.08.2019) |
| RM18 |
Discharge management Durchführung des Entlassmanagement bei jedem Patienten (23.08.2019) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Dokumentation und geregelter Umgang mit dem Fehlermeldesystem
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.07.2016 |
| 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 halbjährlich |
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) |