Dealing with risks in patient care

Quality management

Axel Klein

Abteilungsleiter Medizincontrolling und Qualitätsmanagement

Kaiserstr. 75
51643 Gummersbach

Phone: 02291 -82-2525
Mail: ed.grebrebo-mukinilk@ofni

Conference frequency:

Risk management

Magnus Kriesten

Geschäftsführer

Phone: 02261 -17-0
Fax: 02261-17-2002
Mail: ed.grebrebo-mukinilk@ofni

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

VA Risikoinventur (14.11.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Risikoinventur (14.11.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

VA Patientenidentifikationsarmband (06.12.2021)

RM18

Discharge management

Verfahrensanweisung (13.08.2018)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

keine Angabe

No. Explanation
IF01

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

As of: 17.03.2023

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 bei Bedarf

Conference committee

Conference frequency: andere Frequenz

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association)