Dealing with risks in patient care
Quality management
Jens Lehnhardt
Pflegedirektor
Nardinistr. 30
66849 Landstuhl
Phone:
06371
-841101-
Mail:
ed.mukinilkinidran@tdrahnheL.J
Pflegedirektion, Ärzte, Hygiene, Qualitätsmanagement, Risikomanagement
Conference frequency: quartalsweise
Risk management
Pflegedirektion, Ärzte, Hygiene, Qualitätsmanagement, Risikomanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement Nardini Klinikum (18.04.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Risikomanagement Nardini Klinikum (18.04.2023) |
| RM05 |
Pain management Risikomanagement Nardini Klinikum (18.04.2023) |
| RM06 |
Fall prophylaxis Risikomanagement Nardini Klinikum (18.04.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Risikomanagement Nardini Klinikum (18.04.2023) |
| RM08 |
Regulated handling of custodial measures Risikomanagement Nardini Klinikum (18.04.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagement Nardini Klinikum (18.04.2023) |
| 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 Risikomanagement Nardini Klinikum (18.04.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Risikomanagement Nardini Klinikum (18.04.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Risikomanagement Nardini Klinikum (18.04.2023) |
| RM17 |
Standards for recovery and postoperative care Risikomanagement Nardini Klinikum (18.04.2023) |
| RM18 |
Discharge management Risikomanagement Nardini Klinikum (18.04.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
OP-Sicherheitscheckliste, Patientenidentifikationsarmbänder, präoperative Markierung des Eingriffsortes, Zählkontrollen im OP, Aufnahmescreening MRSA, Dekolonisierung vor elektiven Eingriffen • Risikoeinschätzung Dekubitusrisiko und Sturzrisiko • Teilnahme Aktion „Saubere Hände“ (Bronzezertifikat) • Teilnahme am Krankenhaus-Infektions-Surveillance-System (OP-KISS)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.09.2013 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: