Dealing with risks in patient care
Quality management
Anne Katrin Körber
Qualitätsbeauftragte
Gerhard-Kienle-Weg 4 Gerhard-Kienle-Weg 4
58313 Herdecke
Phone:
02330
-62-2477
Mail:
ed.suahneknarkstfahcsniemeg@rebreok.a
Anne Katrin Körber
Qualitätsbeauftragte
Gerhard-Kienle-Weg 4 Gerhard-Kienle-Weg 4
58313 Herdecke
Phone:
02330
-62-2477
Mail:
ed.suahneknarkstfahcsniemeg@rebreok.a
Unternehmensleitung, Arzt für Qualitätsmanagement, Personalabteilung, Qualitätsbeauftragte, Pflegedirektion
Conference frequency: quartalsweise
Risk management
Anne Katrin Körber
Qualitätsbeauftragte
Gerhard-Kienle-Weg 4
58313 Herdecke
Phone:
02330
-62-2477
Fax: 02330-62-4085
Mail:
ed.suahneknarkstfahcsniemeg@rebreok.a
Anne Katrin Körber
Qualitätsbeauftragte
Gerhard-Kienle-Weg 4
58313 Herdecke
Phone:
02330
-62-2477
Fax: 02330-62-4085
Mail:
ed.suahneknarkstfahcsniemeg@rebreok.a
Unternehmensleitung, Arzt für Qualitätsmanagement, Personalabteilung, Qualitätsbeauftragte, Pflegedirektion
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Geschäftsordnung Kommission für Qualitäts- und Risikomanagement (31.01.2017) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Geschäftsordnung Kommission für Qualitäts- und Risikomanagement (31.01.2017) |
| RM05 |
Pain management Standard zur perioperativen Schmerztherapie (16.11.2022) |
| RM06 |
Fall prophylaxis Standard Sturzprophylaxe (08.07.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitus Prophylaxe (07.05.2019) |
| RM08 |
Regulated handling of custodial measures Standard Fixierung, Antrag Richterliche Betreuung (03.03.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Kommission für Qualitäts- und Risikomanagement (31.01.2019) |
| 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 OP Checkliste (WHO) (31.12.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings OP Checkliste (31.12.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP Checkliste (WHO) , Team Time Out (31.01.2019) |
| RM17 |
Standards for recovery and postoperative care Checkliste Aufwachraum (18.07.2019) |
| RM18 |
Discharge management Entlassplanung und Checkliste Entlassmanagement (31.01.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
- einheitliche Beschriftung Katheter - Patientenarmband- OP Checkliste - Demenzbetreuung- Anti Gewalttraining - Notfallplan aktualisiert- Hygieneplan aktualisiert - Antibiotika Leitfaden Kitteltasche-
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 16.03.2019 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |