Dealing with risks in patient care
Quality management
Eda Kara
Beauftragte für Qualitätsmanagement
Frönsberger Straße 71
58675 Hemer
Phone:
02372
-861-8186
Mail:
gro.lwl@arak.ade
Betriebsleitungen, alle Abteilungsleitungen, Personalrat
Conference frequency: monatlich
Risk management
Eda Kara
Beauftragte für Qualitätsmanagement
Frönsberger Straße 71
58675 Hemer
Phone:
02372
-861-8186
Mail:
gro.lwl@arak.ade
Betriebsleitungen, alle Abteilungsleitungen, Personalrat
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement (20.01.2025) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management medizinisches Notfallmanagement (27.03.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe in der Pflege (28.04.2025) |
| RM08 |
Regulated handling of custodial measures LWL-Standard zur Vermeidung, Anwendung und Dokumentation von freiheitsentziehenden Maßnahmen und Zwangsbehandlungen in der Erwachsenenpsychiatrie (09.10.2025) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einführung interner Risikoaudits in Planung, Teilnahme an Workshops Risikomanagement über den Träger, CIRS-Meldesystem
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.01.2024 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association) |