Dealing with risks in patient care
Quality management
Jana Pizzaja
QMB
Müllroser Chaussee 7
15236 Frankfurt (Oder)
Phone:
0335
-548-2490
Mail:
ed.offmukinilk@tnemeganamsteatilauq
Geschäftsführung; ärztliche Leitung; MC/QM; Pflegedienstleitung; Betriebsrat
Conference frequency: bei Bedarf
Risk management
Geschäftsführung; ärztliche Leitung; MC/QM; Pflegedienstleitung; Betriebsrat
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM05 |
Pain management Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM06 |
Fall prophylaxis Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM08 |
Regulated handling of custodial measures Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| 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 Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM17 |
Standards for recovery and postoperative care Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
| RM18 |
Discharge management Qualitäts- u. Risikomanagement-Handbuch (EDV-gestützte Dokumentenlenkung) (30.11.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
-Regelmäßige Schulung der Mitarbeiter zu prozessrelevanten Verfahrensanweisungen/Standards
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.04.2020 |
| 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 jährlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |