Dealing with risks in patient care

Quality management

Sieglinde Reis

Qualitäts-, Risiko- und Beschwerdemanagerin, Datenschutzbeauftragte

Am Hospital 6
34560 Fritzlar

Phone: 05622 -997-344
Mail: ed.ralztirf-latipsoh@sier.ednilgeis

Geschäftsführung, QM-Kernteam

Conference frequency: bei Bedarf

Risk management

Sieglinde Reis

Qualitäts-, Risiko- und Beschwerdemanagerin, Datenschutzbeauftragte

Am Hospital 6
34560 Fritzlar

Phone: 05622 -997-344
Fax: 05622-997-401
Mail: ed.ralztirf-latipsoh@sier.ednilgeis

Geschäftsführung, QM-Kernteam

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

externer Bericht (22.03.2016)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

externer Bericht (22.03.2016)

RM05

Pain management

externer Bericht (22.03.2016)

RM06

Fall prophylaxis

externer Bericht (22.03.2016)

RM07

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

externer Bericht (22.03.2016)

RM08

Regulated handling of custodial measures

externer Bericht (22.03.2016)

RM09

Regulated handling of occurring malfunctions of devices

externer Bericht (22.03.2016)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
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

externer Bericht (22.03.2016)

RM15

Preoperative, complete presentation of necessary findings

externer Bericht (22.03.2016)

RM16

Procedure to avoid procedural and patient mix-ups

externer Bericht (22.03.2016)

RM17

Standards for recovery and postoperative care

externer Bericht (22.03.2016)

RM18

Discharge management

externer Bericht (22.03.2016)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Individuelle Maßnahmen

No. Explanation
IF01

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

As of: 20.09.2012

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 bei Bedarf

Conference committee

Conference frequency: