Dealing with risks in patient care
Quality management
Sandra Pawelczyk
Qualiät
Wilstedter Straße 134
24558 Henstedt-Ulzburg
Phone:
04193
-70-3153
Mail:
ed.dkp@kyzclewap.ardnas
Klinikleitung, Chefärzte, QMB, anlassbezogen weitere Teilnehmer
Conference frequency: halbjährlich
Risk management
Sandra Pawelczyk
Qualiät
Wilstedter Straße 134
24558 Henstedt-Ulzburg
Phone:
04193
-70-3153
Mail:
ed.dkp@kyzclewap.ardnas
Stations- und Anästhesiepflege, ZNA, Betriebsrat, QM, Medizintechnik
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Umfassende Dokumentation im Organistationshandbuch (04.02.2021) |
| RM02 |
Regular further education and training measures |
| RM06 |
Fall prophylaxis Sturzprophylaxe (12.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (15.02.2023) |
| RM08 |
Regulated handling of custodial measures Fixierung (22.08.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Umgang mit fehlerhaften Medizinprodukten (06.06.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenidentifikation in den Akutkliniken (12.01.2021) |
| RM18 |
Discharge management Entlassmanagement (09.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Optimierung, Anpassung von Prozessen und Strukturen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.02.2021 |
| 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: jährlich
| 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) |