Dealing with risks in patient care
Quality management
Jennifer Benner
Leitung zentrales Qualitätsmanagement
Schülgenstr. 15
53604 Bad Honnef
Phone:
02241
-25099-900
Mail:
ed.enilno-ofg@renneb.refinnej
Erweiterte Krankenhausbetriebsleitung und Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management
Jennifer Benner
Leitung zentrales Qualitätsmanagement
Phone:
02241
-25099-900
Fax: 02241-25099-311
Mail:
ed.enilno-ofg@renneb.refinnej
Erweiterte Krankenhausbetriebsleitung und Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch (04.09.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Organisationshandbuch (04.09.2024) |
| RM05 |
Pain management Organisationshandbuch (04.09.2024) |
| RM06 |
Fall prophylaxis Organisationshandbuch (04.09.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Organisationshandbuch (04.09.2024) |
| RM08 |
Regulated handling of custodial measures Organisationshandbuch (04.09.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch (04.09.2024) |
| 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 Organisationshandbuch (04.09.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Organisationshandbuch (04.09.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Organisationshandbuch (04.09.2024) |
| RM17 |
Standards for recovery and postoperative care Organisationshandbuch (04.09.2024) |
| RM18 |
Discharge management Organisationshandbuch (04.09.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Es existiert ein Maßnahmenplan nach dem kontinuierlich Verbesserung zur Patientensicherheit vorgenommen werden. (Maßnahmenverfolgung)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.09.2024 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: andere Frequenz
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association) |