Dealing with risks in patient care
Quality management
Dr. Niklas Cruse
Geschäftsführer
Kurfürstenstrasse 22
52428 Jülich
Phone:
02461
-620-2000
Mail:
ed.tsew-tc@esurc.salkin
Dr. Niklas Cruse
Geschäftsführer
Kurfürstenstrasse 22
52428 Jülich
Phone:
02461
-620-2000
Mail:
ed.tsew-tc@esurc.salkin
Geschäftsführer, Qualitätsmanagerin, klinische Risikomanagerin, Pflegedirektor, Projektmanagerin
Conference frequency: monatlich
Risk management
Niklas Cruse
Geschäftsführer
52405 Jülich
Phone:
02461
-620-2000
Fax: 02461-620-2009
Mail:
ed.tsew-tc@esurc.salkin
Niklas Cruse
Geschäftsführer
52405 Jülich
Phone:
02461
-620-2000
Fax: 02461-620-2009
Mail:
ed.tsew-tc@esurc.salkin
Geschäftsführer, Qualitätsmanagerin, klinische Risikomanagerin, Pflegedirektor, Projektmanagerin
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM05 |
Pain management EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM06 |
Fall prophylaxis EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM08 |
Regulated handling of custodial measures EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM17 |
Standards for recovery and postoperative care EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
| RM18 |
Discharge management EDV gesteuerte QM/RM Dokumentenlenkung (15.12.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Unsere Einrichtung arbeitet mit dem Fehlermeldesystem intrafox, zu dem alle Mitarbeiter*innen einen Zugang haben und jeder Zeit Fehlermeldungen eingeben können. Die Auswertung und Maßnahmenplanung zu den Meldungen erfolgt in einem geschhulten Auswerterteam, in dem Mitarbeiter*innen der verschiedenen Bereiche des Hauses vertreten sind: Anästhesie, Chirurgie, Innere Medizin, Geriatrie, Pflegedienst, Qualitäts-/ Risikomanagement, Arbeitssicherheit, Funktionsdienste, MAV
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.07.2022 |
| 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: monatlich
| 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 |