Dealing with risks in patient care
Quality management
Simone Hirsch
Qualitätsmanagementbeauftragte
Obertorstraße 100-102
65520 Bad Camberg
Phone:
06434
-919-632
Mail:
ed.kraplacidem@2hcsrih.s
Teilnahme des Geschäftsführers und jeweils eines Vertreters der Abteilungen: Ärzte, Pflege, Therapie, Personal, Controlling, IT, Patientenverwaltung, Hotellerie & Service
Conference frequency: monatlich
Risk management
Julia Hemberger
Oberärztin
Phone:
06434
-919-579
Fax: 06434-919-650
Mail:
ed.kraplacidem@regrebmeh.j
An der Arbeitsgruppe nehmen alle Mitglieder des CIRS-Teams teil: Risikomanagementbeauftragte Ärztin, Pflegedirektorin, Therapie, Patientensicherheitsbeauftragte, QM
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available MP QM Handbuch Teil 1 (16.01.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management MP QM Handbuch Teil 1 (16.01.2024) |
| RM05 |
Pain management MP PFL AA Expertenstandard Schmerzmanangement (07.06.2024) |
| RM06 |
Fall prophylaxis MP PFL Expertenstandard Sturzprophylaxe in der Pflege (26.09.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) MP PFL AA Expertenstandard Dekubitusprophylaxe (12.01.2024) |
| RM08 |
Regulated handling of custodial measures MPBC PFL AA Freiheitsentziehende Maßnahmen und Alternativen zur Fixierung (27.06.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices MPBC MED AA Medizingeräte (01.12.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management MP VA Entlassmanagement (11.11.2024) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Umsetzung abgeleiteter Maßnahmen im Rahmen des dokumentierten Prozesses
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 07.05.2024 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |