Dealing with risks in patient care
Quality management
Sebastian Arnold
Beauftragter für Patientensicherheit und Qualitäts- und klinisches Risikomanagement
Wilhelm-Leuschner-Straße 10
64653 Lorsch
Phone:
06251
-591-202
Mail:
ed.kinilk-neohcs@dlonraes
Klinikleitung Chefarzt Anästhesie Chefarzt Orthopädie & Unfallchirurgie Chefarzt Schulterchirurgie Chefärzte Wirbelsäulenchirurgie Pflegedienstleitung Qualitäts- und klinisches Risikomanagement
Conference frequency: quartalsweise
Risk management
Sebastian Arnold
Beauftragter für Patientensicherheit und Qualitäts- und klinisches Risikomanagement
Phone:
06251
-591-202
Mail:
ed.kinilk-neohcs@dlonraes
Klinikleitung Chefarzt Anästhesie Chefarzt Orthopädie & Unfallchirurgie Chefarzt Schulterchirurgie Chefärzte Wirbelsäulenchirurgie Pflegedienstleitung Qualitäts- und klinisches Risikomanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Standard SK Risikomanagement (23.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Standard SK Risikomanagement (23.03.2023) |
| RM05 |
Pain management Standard SK Risikomanagement (23.03.2023) |
| RM06 |
Fall prophylaxis Schön Klinik Standard zur Sturzprophylaxe (02.11.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Schön Klinik Dekubitusstandard (17.04.2021) |
| RM08 |
Regulated handling of custodial measures Schön Klinik Leitfaden zu freiheitsentziehenden Maßnahmen (02.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Umgang mit kritischen Ereignissen durch Anwendung von Medizinprodukten (02.09.2022) |
| 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 Indikationsbesprechung präop (16.02.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Indikationsbesprechung präop (16.02.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups WHO-OP-Checkliste (27.05.2022) |
| RM17 |
Standards for recovery and postoperative care Postoperative pflegerische Versorgung (21.09.2021) |
| RM18 |
Discharge management Verfahrensanweisung Entlassmanagement (27.11.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einführung von Patienten-ID-Bändern Einführung der Leitlinie AMTS Integration des klinischen Risikomanagements: Durchführung von Fallanalysen und kontiniuierliches Risikomonitoring
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 23.08.2022 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |