Dealing with risks in patient care

Quality management

Thomas Middendorf

Chefarzt

Hofgarten 10
34454 Bad Arolsen

Phone: 05691 -6238-3043
Mail: ed.kinilk-neohcs@neslorAdaBkinilK

Klinisches Risikomanagement / CIRS / Hygiene / AMTS / Patientensicherheit Qualitätsmanagement / Patientenzufriedenheit / Beschwerden / Vorschlagswesen Klinikgeschäftsführer Chefärzte Leitende Psychologin / QED Beauftragte/Bereichsleiter je Thema

Conference frequency: quartalsweise

Risk management

Annegrit Kondler

Klinische Risikomanagerin / Pflege und Hygiene

Phone: 05691 -6238-2345
Fax: 05691-6238-1344
Mail: ed.kinilk-neohcs@neslorAdaBkinilK

Klinisches Risikomanagement / CIRS / Hygiene / AMTS / Patientensicherheit Qualitätsmanagement / Patientenzufriedenheit / Beschwerden / Vorschlagswesen Klinikgeschäftsführer Chefärzte Leitende Psychologin / QED Beauftragte/Bereichsleiter je Thema

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Standard SK Risikomanagement (01.10.2021)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Standard SK Risikomanagement (01.10.2021)

RM05

Pain management

Standard SK Risikomanagement (01.10.2021)

RM06

Fall prophylaxis

Standard SK Risikomanagement (01.10.2021)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Standard SK Risikomanagement (01.10.2021)

RM08

Regulated handling of custodial measures

Standard SK Risikomanagement (01.10.2021)

RM09

Regulated handling of occurring malfunctions of devices

Standard SK Risikomanagement (01.10.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Standard SK Risikomanagement (01.10.2021)

RM18

Discharge management

Standard SK Risikomanagement (01.10.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Arzneimitteltherapiesicherheit (AMTS)-Schön Klinik übergreifender Standard. AMTS bedeutet die sichere Anwendung von Arzneimitteln. Dabei wird eine optimale Organisation des Medikationsprozesses mit dem Ziel angestrebt, auf Medikationsfehlern beruhende unerwünschte Ereignisse zu vermeiden und somit Risiken in der Therapie zu minimieren.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 28.09.2022

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: monatlich

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)