Dealing with risks in patient care
Quality management
Nicole Noll
Qualitätsmanagementeauftragte
Asklepiosstraße 1
63500 Seligenstadt
Phone:
06182
-83-62341
Mail:
moc.soipelksa@llon.n
Nicole Noll
Qualitätsmanagementeauftragte
Asklepiosstraße 1
63500 Seligenstadt
Phone:
06182
-83-62341
Mail:
moc.soipelksa@llon.n
Geschäftsführung, Pflegedienstleitung, Qualitätsmanagement, Chefärzte
Conference frequency: bei Bedarf
Risk management
Frank Müller-Hillebrand
Chefarzt Anästhesie und operative Intensivmedizin
Asklepiosstraße 1
63500 Seligenstadt
Phone:
06182
-83-62400
Mail:
moc.soipelksa@relleum.knarf
Geschäftsführung, Pflegedienstleitung, Qualitätsmanagement, Chefärzte
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available AKG-KGF-KON-01 Konzept Klinisches Risikomanagement (01.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Prozess Notfallmanagement (11.07.2023) |
| RM05 |
Pain management Expertenstandard Schmerztherapie (14.08.2018) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (16.10.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (09.12.2016) |
| RM08 |
Regulated handling of custodial measures AKG-KGF-VA-58 Umgang mit freiheitsentziehenden Maßnahmen (07.08.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch Medizintechnik (28.04.2023) |
| 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 AKG-KGF-VA-15 Asklepios Sicherheits-Checkliste OP (24.02.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings AKG-KGF-VA-15 Asklepios Sicherheits-Checkliste OP (24.02.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups AKG-KGF-VA-33 Vermeidung einer Eingriffsverwechslung (24.02.2022) |
| RM17 |
Standards for recovery and postoperative care Standardtherapie Aufwachraum (03.08.2023) |
| RM18 |
Discharge management KGF-VA Entlassmanagement (07.04.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Erstellung bzw. Aktualisierung von Verfahrensanweisungen (z. B. Verfahrensanweisung zum Umgang mit Arzneimitteln); Durchführung zusätzlicher Schulungen und Praxisanleitungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.08.2017 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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 |
|
| EF14 |
CIRS Health Care |