Dealing with risks in patient care

Quality management

Edith Beyer

Leitung Abteilung Qualitätsmanagement, Beschwerdemanagement

Starkenburgring 66
63069 Offenbach

Phone: 069 -8405-3325
Mail: ed.anas@reyeb.htide

Geschäftsführer, Ärztlicher Direktor, Pflegedirektion, Qualitätsmanagementbeauftragte

Conference frequency: quartalsweise

Risk management

Edith Beyer

Leitung Abteilung Qualitätsmanagement, Beschwerdemanagement

Phone: 069 -8405-3325
Fax: 069-8405-4071
Mail: ed.anas@reyeb.htide

Geschäftsführer, Ärztlicher Direktor, Pflegedirektion, Qualitätsmanagementbeauftragte

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Das QM-System der Sana Klinikum Offenbach GmbH (02.02.2021)

RM02

Regular further education and training measures

RM04

Clinical emergency management

VA Reanimationsmanagement (27.05.2021)

RM05

Pain management

VA Schmerzmanagement ; SOP Perioperative Schmerztherapie; SOP Periduralkatheter, SOP PDK-Anlage; SOP Akutschmerzdienst (05.09.2022)

RM06

Fall prophylaxis

Sturzpropyhlaxe in der Pflege (Expertenstandard), Flyer Sturzprävention (01.07.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Arbeitsanweisung Dekubitusprophylaxe in der Pflege (20.02.2019)

RM08

Regulated handling of custodial measures

VA Umgang mit freiheitsentziehenden Maßnahmen (19.08.2021)

RM09

Regulated handling of occurring malfunctions of devices

Samba Handbuch - aktive Medizinprodukte betreiben und anwenden (24.05.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Qualitätszirkel
  • Perinatalbesprechung im Perinatalzentrum
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

VA OP-Satzung (25.05.2021)

RM15

Preoperative, complete presentation of necessary findings

VA OP-Satzung (25.05.2021)

RM16

Procedure to avoid procedural and patient mix-ups

VA Patientenarmband (23.12.2020)

RM17

Standards for recovery and postoperative care

SOP Postoperative Überwachung und Schmerztherapie im Aufwachraum (08.05.2022)

RM18

Discharge management

VA Entlassungsmanagement (24.04.2020)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

Erstellung weiterer Arbeitsanweisungen zur Verbesserung der Patientensicherheit, Fallanalysen, Mo-Mo-Konferenzen, Durchführung von Risikoaudits auf Grundlage des umfangreichen Sana Risikopräventionskataloges

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 12.01.2023

IF02

Internal evaluation of the received reports

taken quartalsweise

IF03

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken quartalsweise

Conference committee

Conference frequency: andere Frequenz

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)