Dealing with risks in patient care
Quality management
Herr Manfred Fleck
QM-Beauftragter
Dieburger Straße 31
64287 Darmstadt
Phone:
06151
-402-1400
Mail:
ed.latipsoh-ecila@kcelf.derfnam
Abteilungs- und Stationsleitungen, Belegärzte, Vertreter der Verwaltung
Conference frequency: quartalsweise
Risk management
Jörg Vetter
Koordinator
Dieburger Str. 31
64287 Darmstadt
Phone:
06151
-402-1060
Fax: 06151-402-881060
Mail:
ed.latipsoh-ecila@rettev.greoj
Abteilungs- und Stationsleitungen, Belegärzte, Vertreter der Verwaltung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available BITQMS (23.10.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management BITQMS (23.10.2023) |
| RM05 |
Pain management BITQMS (23.10.2023) |
| RM06 |
Fall prophylaxis BITQMS (23.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) BITQMS (23.10.2023) |
| RM08 |
Regulated handling of custodial measures BITQMS (23.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices BITQMS (23.10.2023) |
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings BITQMS (23.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups BITQMS (23.10.2023) |
| RM17 |
Standards for recovery and postoperative care BITQMS (23.10.2023) |
| RM18 |
Discharge management BITQMS (23.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
„Aufgrund der eingegangenen CIRS-Meldungen konnte in verschiedensten Bereichen Maßnahmen zur Steigerung der Patientensicherheit umgesetzt werden“.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.10.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |