Dealing with risks in patient care

Quality management

Verena Scholtyssek

Qualitätsmanagement Beauftragte

Hauptkanal rechts 74 - 75
26871 Papenburg

Phone: 04961 -93-1009
Mail: ed.grubnepap-latipsoh@kessytlohcs.anerev

Pflegedirektion, Geschäftsführung, Abteilungsleitungen

Conference frequency: monatlich

Risk management

Verena Scholtyssek

Qualitätsmanagement Beauftragte

Hauptkanal rechts 74-75
26871 Papenburg

Phone: 04961 -93-1009
Mail: ed.grubnepap-latipsoh@kessytlohcs.anerev

Anästhesie, Gastroenterologie, AEMP, ZNA, Pflegedienst, Kinder- undJugendpsychiatrie, Hygiene, Qualitätsmanagement, Schnittstelle IT

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM04

Clinical emergency management

Behandlung Reanimation (10.09.2019)

RM05

Pain management

Expertenstandard Schmerzmanagement in der Pflege (09.12.2022)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe (16.12.2020)

RM07

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

Dekubitusprophylaxe in der Pflege (26.05.2021)

RM08

Regulated handling of custodial measures

Fixierung (27.06.2022)

RM09

Regulated handling of occurring malfunctions of devices

Meldeweg bei Vorkommissen (02.08.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Systemanalyse klinischer Zwischenfälle
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Markierung von Patienten/ Perioperative Sicherheitscheckliste (02.02.2021)

RM18

Discharge management

Prozess Entlassung (27.06.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Risikoanalyse

No. Explanation
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
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)