Dealing with risks in patient care
Quality management
Maria Daniela Murach
Mitarbeiterin Qualitäts- und Risikomanagement
Oehrenstöcker Straße 32
98693 Ilmenau
Phone:
03628
-919405-
Mail:
ed.nekinilk-sierk-mli@hcaruM.aleinaDairaM
Geschäftsführung, Ärztliche Direktion, Pflege, Funktionsdienst, Verwaltung
Conference frequency: quartalsweise
Risk management
Maria Daniela Murach
Mitarbeiterin Qualitäts- und Risikomanagement
Phone:
03628
-919405-
Mail:
ed.nekinilk-sierk-mli@hcaruM.aleinaDairaM
Geschäftsführung, Ärztliche Direktion, Pflege, Funktionsdienst, Verwaltung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Teil der QM/RM-Dokumentation (30.11.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Teil der QM/RM-Dokumentation (30.11.2020) |
| RM05 |
Pain management Teil der QM/RM-Dokumentation (30.11.2020) |
| RM06 |
Fall prophylaxis Teil der QM/RM-Dokumentation (30.11.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Teil der QM/RM-Dokumentation (30.11.2020) |
| RM08 |
Regulated handling of custodial measures Teil der QM/RM-Dokumentation (30.11.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Teil der QM/RM-Dokumentation (30.11.2020) |
| 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 Teil der QM/RM-Dokumentation (30.11.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Teil der QM/RM-Dokumentation (30.11.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Teil der QM/RM-Dokumentation (30.11.2020) |
| RM17 |
Standards for recovery and postoperative care Teil der QM/RM-Dokumentation (30.11.2020) |
| RM18 |
Discharge management Teil der QM/RM-Dokumentation (30.11.2020) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Prozessaudits in den Bereichen, Anpassung der Dienstanweisung Dokumentation, Einführung eines Softwaremoduls zum Meldewesen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.06.2020 |
| 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: quartalsweise
| 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) |