Dealing with risks in patient care
Quality management
Alexander Liebetrau
Qualitätsmanagement Beauftragte
Hauptkanal rechts 74 - 75
26871 Papenburg
Phone:
04961
-93-1009
Mail:
ed.grubnepap-latipsoh@uartebeil.rednaxela
Pflegedirektion, Geschäftsführung, Abteilungsleitungen
Conference frequency: monatlich
Risk management
Alexander Liebetrau
Qualitätsmanagement Beauftragte
Hauptkanal rechts 74-75
26871 Papenburg
Phone:
04961
-93-1009
Mail:
ed.grubnepap-latipsoh@uartebeil.rednaxela
Anästhesie, Gastroenterologie, AEMP, ZNA, Pflegedienst, Kinder- und Jugendpsychiatrie, Hygiene, Qualitätsmanagement, Mitarbeitervertretung, Schnittstelle IT
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Notfallkonzept (07.12.2023) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement in der Pflege (09.12.2022) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (15.11.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe in der Pflege (17.10.2023) |
| RM08 |
Regulated handling of custodial measures Fixierung (30.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Meldeweg bei Vorkommissen (02.08.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Markierung von Patienten/ Perioperative Sicherheitscheckliste (15.01.2024) |
| RM18 |
Discharge management Prozess Entlassung (03.07.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Maßnahmenplanung nach Ursachenanalyse
| No. | Explanation |
|---|---|
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |