Dealing with risks in patient care
Quality management
Nadine Schenk
Qualitäts-, Risiko und Krisenmanagement
von-Broichhausen-Allee 1
47906 Kempen
Phone:
02152
-142-1373
Mail:
ed.demetra@knehcs.enidan
Geschäftsführung. Klinkleitung, Chefärzte, Pflegedienstleitung
Conference frequency: monatlich
Risk management
Nadine Schenk
Qualitäts-, Risiko und Krisenmanagement
Phone:
02152
-142-1373
Mail:
ed.demetra@knehcs.enidan
Geschäftsführung. Klinkleitung, Chefärzte, Pflegedienstleitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH:roXtra (15.06.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QMH:roXtra (15.06.2023) |
| RM05 |
Pain management QMH:roXtra (15.06.2023) |
| RM06 |
Fall prophylaxis QMH:roXtra (15.06.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QMH:roXtra (15.06.2023) |
| RM08 |
Regulated handling of custodial measures QMH:roXtra (15.06.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices QMH:roXtra (15.06.2023) |
| 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 QMH:roXtra (15.06.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings QMH:roXtra (15.06.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QMH:roXtra (15.06.2023) |
| RM17 |
Standards for recovery and postoperative care QMH:roXtra (15.06.2023) |
| RM18 |
Discharge management QMH:roXtra (15.06.2023) |
Fault reporting systems
Conference committee
Conference frequency: jährlich
Measures
- Weiterentwicklung WHO-Checkliste - Novellierung Alarmierungssystem Notfallmanagement - Patientenarmbänder - Etablierung von Risikoaudits in den Abteilungen - Etablierung Zwischenfallanzeigen - Hygieneaudits und Schulungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.01.2023 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| 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: monatlich
| 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) |