Dealing with risks in patient care
Quality management
Ulrike Holec- Eggers
QMB
Landrat-Beushausen-tr. 26 1
31061 Alfeld
Phone:
05181
-707-9274
Mail:
ed.soema@sregge-celoh.ekirlu
Risikomanager, Ärztlicher Direktor, Krankenhausdirektor, Pflegedirektor, Dokumentationsbeauftragte, Qualitätsbeauftragte.
Conference frequency: monatlich
Risk management
Heinrich Rudolf Kosiek
Ärztlicher Direktor, Chefarzt Anästhesie
Landrat-Beushausen-Str. 26
31061 Alfeld
Phone:
05181
-707-201
Fax: 05181-707-205
Mail:
ed.soema.dlefla@eana.okr
Risikomanager, Ärztlicher Direktor, Krankenhausdirektor, Pflegedirektor, Dokumentationsbeauftragte, Qualitätsbeauftragte.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Notfallmanagement/Rea-Team (09.05.2021) |
| RM05 |
Pain management Expertenstandard Schmerz (14.06.2023) |
| RM06 |
Fall prophylaxis Expertenstandard Sturz (04.03.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard in der Pflege (16.08.2021) |
| RM08 |
Regulated handling of custodial measures VA FEM (15.04.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch Medizintechnik (22.08.2023) |
| 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 VA OP Sicherheitscheckliste (20.05.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA OP Sicherheitscheckliste (20.05.2023) |
| RM17 |
Standards for recovery and postoperative care Konzept OP Statut (30.03.2021) |
| RM18 |
Discharge management VA Entlassmanagement/Expertenstandard (07.08.2020) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.08.2023 |
| 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 jährlich |
Conference committee
Conference frequency:
| No. | Explanation |
|---|---|
|
Other |