Dealing with risks in patient care
Quality management
Hans- Jürgen Krämer
Kaufmännischer Direktor
Krankenhausstraße 1
54634 Bitburg
Phone:
06561
-64-2652
Mail:
ed.suahneiram@fie.ofni
Das Direktorium und die Abteilung Qualitäts- und Risikomanagement treffen sich monatlich.
Conference frequency: monatlich
Risk management
Hans- Jürgen Krämer
Kaufmännischer Direktor
Krankenhausstraße 1
54634 Bitburg
Phone:
06561
-64-2652
Mail:
ed.suahneiram@fie.ofni
Das Direktorium und die Abteilung Qualitäts- und Risikomanagement treffen sich monatlich.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Arbeitsanweisung Medizinisches Notfallmanagement (23.11.2020) |
| RM05 |
Pain management Handbuch postoperativer Schmerz (06.12.2018) |
| RM06 |
Fall prophylaxis Standard Sturzprophylaxe (10.11.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (05.09.2019) |
| RM08 |
Regulated handling of custodial measures Arbeitsanweisung Freiheitsentziehende Maßnahmen (15.10.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Leitfaden Medizintechnik (18.01.2022) |
| 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 OP- Sicherheitscheckliste (08.04.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheitscheckliste (08.04.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Sicherheitscheckliste (08.04.2021) |
| RM17 |
Standards for recovery and postoperative care Arbeitsanweisung Anästhesie (09.02.2022) |
| RM18 |
Discharge management Verfahrensanweisung Entlassmanagement (13.07.2020) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Schulungen, Anpassung von Arbeitsanweisungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.03.2021 |
| 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: 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) |