Dealing with risks in patient care
Quality management
Elena Högemann
Stabsstelle Qualitäts- und Risikomanagement
Am Krankenhaus 2
48231 Warendorf
Phone:
02581
-20-1015
Mail:
ed.fawhj@nnamegeoh.e
Vorstandsvorsitzender Vorstand Ärztlicher Direktor Pflegedirektion Qualitäts- und Risikomanager
Conference frequency: halbjährlich
Risk management
Elena Högemann
Stabsstelle Qualitäts- und Risikomanagement
48206 Warendorf
Phone:
02581
-20-1015
Fax: 02581-20-1003
Mail:
ed.fawhj@nnamegeoh.e
Vorstandsvorsitzender Vorstand Ärztlicher Direktor Pflegedirektion Qualitäts- und Risikomanager
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM05 |
Pain management Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM06 |
Fall prophylaxis Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM08 |
Regulated handling of custodial measures Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM17 |
Standards for recovery and postoperative care Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
| RM18 |
Discharge management Zentrale digitale Dokumentenlenkung und Dokumentenmanagement (06.12.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Diverse Maßnahmen in den Bereichen Medikationsmanagement, Hygiene, Organisation, etc.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.04.2017 |
| 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 |
|---|---|
| EF14 |
CIRS Health Care |