Dealing with risks in patient care

Quality management

Manja Mohr

Qualitätsmanagement

Heinz-Meise-Straße 100
36199 Rotenburg a. d. Fulda

Phone: 06623 -88-6221
Mail: ed.grubnetor-zkh@bmq

Ärztlicher Dienst / Pflegedienst / Therapeutischer Dienst / Verwaltung / Service

Conference frequency: quartalsweise

Risk management

Manja Mohr

Qualitätsmanagement

Phone: 06623 -88-6221
Fax: 06623-88-6262
Mail: ed.grubnetor-zkh@bmq

Ärztlicher Dienst / Pflegedienst / Therapeutischer Dienst / Verwaltung / Service

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

OP-Checkliste (03.05.2020)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

OP-Checkliste (03.05.2020)

RM06

Fall prophylaxis

OP-Checkliste (03.05.2020)

RM07

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

OP-Checkliste (03.05.2020)

RM08

Regulated handling of custodial measures

OP-Checkliste (03.05.2020)

RM09

Regulated handling of occurring malfunctions of devices

OP-Checkliste (03.05.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Tumorkonferenzen
  • Pathologiebesprechungen
  • Qualitätszirkel
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

OP-Checkliste (03.05.2020)

RM15

Preoperative, complete presentation of necessary findings

OP-Checkliste (03.05.2020)

RM17

Standards for recovery and postoperative care

OP-Checkliste (03.05.2020)

RM18

Discharge management

OP-Checkliste (03.05.2020)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Mitarbeiterschulung im Umgang mit Laborproben

No. Explanation
IF01

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

As of: 27.07.2021

IF02

Internal evaluation of the received reports

taken jährlich

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: