Dealing with risks in patient care

Quality management

Matthias Weber

Kaufmännischer Direktor

Wilhelmstraße 7
35392 Gießen

Phone: 0641 -7002-0
Mail: ed.abkoj@ofni

Ärztlicher Dienst, Pflege, Funktionsdienste, Verwaltung

Conference frequency: quartalsweise

Risk management

Matthias Weber

Kaufmännischer Direktor

Wilhelmstraße 7
35392 Gießen

Phone: 0641 -7002-0
Mail: ed.abkoj@ofni

Verschiedene AGs: - Hygieneteam (monatliche Treffen) - Abteilungsbesprechungen (wöchentliche Treffen) - AG-Sicherheit (vier mal pro Jahr; Teilnehmer: GF, Oberin, VL, EDV, PDL, HWL, Ltg. Patientenaufnahme, Ass. d. Geschäftsführung, Techn. Leiter, Brandschutzbeauftr., Beauftr. fü. Arbeitssicherheit)

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM04

Clinical emergency management

Verfahrensanweisung Herzalarm (29.09.2021)

RM05

Pain management

SOP Thoraxschmerz Akutes Koronarsyndrom (03.09.2014)

RM06

Fall prophylaxis

SOP Sturzprophylaxe in der Pflege (04.01.2023)

RM07

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

Standardpflegeplan Dekubitusprophylaxe (17.02.2016)

RM08

Regulated handling of custodial measures

Freiheitsbeschränkende Maßnahmen - Fixierung von Patienten (22.10.2019)

RM09

Regulated handling of occurring malfunctions of devices

Dienstanweisung für Gerätebeauftragte Personen (11.03.2013)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
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

Surgical Safety Checklist (WHO) (05.09.2022)

RM15

Preoperative, complete presentation of necessary findings

Surgical Safety Checklist (05.09.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Surgical Safety Checklist (05.09.2022)

RM17

Standards for recovery and postoperative care

Postoperative Anordnungen (29.07.2014)

RM18

Discharge management

Checkliste Entlassung (13.07.2017)

Fault reporting systems

Conference committee

Conference frequency: halbjährlich

Measures

Fehlermanagementbeauftragter berichtet in der Chefarztkonferenz

No. Explanation
IF01

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

As of: 17.05.2023

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 bei Bedarf

Conference committee

Conference frequency: