Dealing with risks in patient care
Quality management
Thomas Knigge
Datenschutz, QS, QM
Hagenskamp 34
29525 Uelzen
Phone:
05371
-87-1003
Mail:
ed.tiehdnuseg-soileh@eggink.samoht
Klinikgeschäftsführung, QM
Conference frequency: monatlich
Risk management
Thomas Knigge
Datenschutz, QS, QM
Phone:
05371
-87-1003
Fax: 05371-87-1005
Mail:
ed.tiehdnuseg-soileh@eggink.samoht
Klinikgeschäftsführung, QM
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Klinisches Notfallmanagement (28.01.2022) |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021) |
| RM08 |
Regulated handling of custodial measures Geregelter Umgang mit freiheitsentziehenden Maßnahmen (28.01.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care Standards für Aufwachphase und postoperative Versorgung (07.06.2023) |
| RM18 |
Discharge management Entlassungsmanagement (02.05.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Übernahme der HELIOS Sicherheits-Checkliste für Eingriffe im OP
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 27.02.2020 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |