Dealing with risks in patient care

Quality management

Dr. med. Jörg Berger

Medizincontrolling

Dieselstr. 185
47166 Duisburg

Phone: 0203 -546-2925
Mail: ed.tiehdnuseg-soileh@2regreb.greoj

Ärztliche Direktoren, Klinikdirektoren, Pflegedirektion, Medizincontrolling

Conference frequency: monatlich

Risk management

Wolfgang Lepper

Chefarzt

Phone: 0203 -546-31107
Fax: 0203-546-31109
Mail: ed.tiehdnuseg-soileh@reppel.gnagflow

Ärztliche Direktoren, Klinikdirektoren, Pflegedirektion, Medizincontrolling

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM05

Pain management

Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019)

RM06

Fall prophylaxis

Beschluss der FG Pflege Sturzprophylaxe (01.02.2023)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021)

RM08

Regulated handling of custodial measures

Regelungen zu freiheitsentziehenden Maßnahmen (15.09.2021)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
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

Konzernregelung OP-Sicherheit (27.01.2022)

RM15

Preoperative, complete presentation of necessary findings

Konzernregelung OP-Sicherheit (27.01.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Konzernregelung OP-Sicherheit (27.01.2022)

RM17

Standards for recovery and postoperative care

OP-Sicherheit (16.09.2021)

RM18

Discharge management

Entlassmanagement (21.01.2021)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Erforderliche Maßnahmen werden umgesetzt.

No. Explanation
IF01

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

As of: 14.09.2017

IF02

Internal evaluation of the received reports

taken quartalsweise

Conference committee

Conference frequency: monatlich

No. Explanation

Other