Dealing with risks in patient care
Quality management
Daniela Spiekermann
Qualitäts- und Risikomanagement
Annostraße 1
57392 Schmallenberg-Grafschaft
Phone:
02972
-791-3058
Mail:
ed.gkkf@nnamrekeips.d
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin, Qualitätsmanagement
Conference frequency: bei Bedarf
Risk management
Daniela Spiekermann
Qualitäts- und Risikomanagement
Phone:
02972
-791-3058
Fax: 02972-791-1263
Mail:
ed.gkkf@nnamrekeips.d
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin, Qualitätsmanagement
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available DIN ISO EN 9001:2015 (27.10.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management DIN ISO EN 9001:2015 (27.10.2023) |
| RM06 |
Fall prophylaxis DIN ISO EN 9001:2015 (27.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) DIN ISO EN 9001:2015 (27.10.2023) |
| RM08 |
Regulated handling of custodial measures DIN ISO EN 9001:2015 (27.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices DIN ISO EN 9001:2015 (27.10.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups DIN ISO EN 9001:2015 (27.10.2023) |
| RM18 |
Discharge management DIN ISO EN 9001:2015 (27.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Umsetzung der Expertenstandards, CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 27.10.2023 |
| 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 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 |