Dealing with risks in patient care
Quality management
Saskia Melodie Jakubowski
Leitung Qualitäts- und Risikomanagement
Beethovenstr. 20
65189 Wiesbaden
Phone:
0611
-177-1118
Mail:
ed.ohoj@ikswobukajs
QRM-Team
Conference frequency: monatlich
Risk management
Saskia Melodie Jakubowski
Leitung Qualitäts- und Risikomanagement
Beethovenstr. 20
65189 Wiesbaden
Phone:
0611
-177-1118
Fax: 0611-177-1156
Mail:
ed.ohoj@ikswobukajs
QRM-Team CIRS-Team
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH Konzept zum klinischen Risikomanagement (09.06.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung (22.02.2023) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement (01.06.2022) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (01.06.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (01.06.2022) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung (09.06.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung (27.04.2017) |
| 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 Verfahrensanweisung (28.11.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Fachabteilungsdokumentation (01.01.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung (31.10.2018) |
| RM17 |
Standards for recovery and postoperative care Handbuch des Aufwachraums (21.08.2019) |
| RM18 |
Discharge management Verfahrensanweisung (16.05.2018) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Nutzung eines internen CIRS mit Ableitung von konkreten Maßnahmen zur Verbesserung der Mitarbeiter- und Patientensicherheit und der Prozessabläufe
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.01.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |