Dealing with risks in patient care

Quality management

Dipl.-Ges.-Ök. Daniel Baumeister

Qualitätsmanagement und klinisches Risikomanagement

Rottweiler Straße 3
50739 Köln

Phone: 0221 -8993-794
Mail: ed.rvl@retsiemuab.leinad

Klinikvorstand, Qualitätsmanagement

Conference frequency: monatlich

Risk management

Daniel Baumeister

Qualitätsmanagement und klinisches Risikomanagement

Rottweilerstraße 3
50739 Köln

Phone: 0221 -8993-794
Fax: 0221-8993-581
Mail: ed.rvl@retsiemuab.leinad

Klinikvorstand Risikomanagement Qualitätsmanagement Hygienefachkraft Brandschutzbeauftragter Strahlenschutzbeauftragte Arbeitssicherheitsbeauftragter

Conference frequency: jährlich

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Notfallmanagement (17.04.2020)

RM06

Fall prophylaxis

Komplikationsstandard Sturz (11.09.2020)

RM07

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

Pflegestandard: Dekubitusprophylaxe (25.05.2021)

RM08

Regulated handling of custodial measures

Pflegestandard: Betreuung eines fixierten Patienten (07.12.2018)

RM09

Regulated handling of occurring malfunctions of devices

Betriebsanweisungen (28.05.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

VA Verordnung, Richten und Vergabe von Medikamenten und Betäubungsmitteln (BTM) (19.10.2020)

RM18

Discharge management

Rahmenvertrag Entlassmanagement (12.03.2020)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Evaluation des Deeskalationskonzepts, Konkretisierung des Fehlermeldesystems in einrichtungsinternes und -übergreifendes CIRS

No. Explanation
IF01

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

As of: 23.08.2021

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 bei Bedarf

Conference committee

Conference frequency: quartalsweise

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea