Dealing with risks in patient care
Quality management
Alexandra Kapitz
QMB
Schwarzwaldstraße 40
79650 Schopfheim
Phone:
07621
-416-8201
Mail:
ed.eolnilk@ardnaxela.ztipak
Conference frequency:
Risk management
Phone: --
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Alrmplan Medizinischer Notfall; SOP Reanimation (04.05.2020) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement (24.04.2023) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (02.03.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (17.04.2023) |
| RM08 |
Regulated handling of custodial measures VA Fixierung von Patienten (01.04.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Medizinproduktegesetz; Benennung von MPG-Beauftragten und -Verantwortlichen (16.11.2021) |
| 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 Bestandteil in der OP-Patienten-Checkliste (01.02.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Bestandteil in der OP-Patienten-Checkliste (01.02.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verwendung von Patientenarmbändern. Das zu operierende Körperteil wird vor der OP vom Operateur markiert (17.10.2020) |
| RM17 |
Standards for recovery and postoperative care SOP PONV (28.06.2022) |
| RM18 |
Discharge management die gesamte Dokumentation ist über das KIS iMedOne abgebildet (01.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Team time out vor der OP. OP-/Patientencheckliste; Markierung der zu operierenden OP-Seite, Patientenarmband zur sicheren Identifikation; regelm. M&M-Konferenzen, tägl. Indikationssprechstunde, wöchtentl. Team-Besprechung, monatl. Komplikations-Besprechung, Multimodal Schmerztherapie, Umsetzung der Internat. Pflegestandards zur Dekubitus- und Sturzprophylaxe, Maßnahmen für bessere Hygienestandards, Arbeitsabläufe und Geräteschonung, Fotodokumentation endoskopischer Bilder, Prozessoptimierung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.08.2021 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |