Dealing with risks in patient care
Quality management
M.Sc. Oliver Eickhoff
Qualitätsmanager
Georgstrasse 11
32545 Bad Oeynhausen
Phone:
05731
-97-3235
Mail:
ed.wrn-zdh@ffohkcieo
Mitarbeiter aus allen Kliniken und Instituten des HDZ NRW
Conference frequency: monatlich
Risk management
Oliver Eickhoff
Qualitätsmanager
32503 Bad Oeynhausen
Phone:
05731
-97-3235
Fax: 05731-97-2425
Mail:
ed.wrn-zdh@ffohkcieo
Mitarbeiter aus allen Kliniken und Instituten des HDZ NRW
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM05 |
Pain management Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM06 |
Fall prophylaxis Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM08 |
Regulated handling of custodial measures Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| 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 Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
| RM18 |
Discharge management Qualitätsmanagement Konzept/ Risiko Management Handbuch (01.02.2019) |
Fault reporting systems
Conference committee
Conference frequency:
Measures
z.B.: -Einführung v Patientenidentifikationsarmbändern -Umsetzung d. DIVI-Standards für Spritzen und Perfusor- Etiketten zur Vermeidung v. Medikamentenverwechslungen -Einführung elektronischer Aufklärungsbögen -Nutzung der WHO-Checkliste im OP -Einführung einer elektronischen Patientenakte -Einführung verschiedenfarbiger Spritzen und unterschiedlicher Konnektoren für enterale und parenterale Medikation -Erfolgreiche Rezertifizierung nach den Anforderungen des „MRE-Qualitätssiegels“
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.02.2019 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |