Dealing with risks in patient care
Quality management
Anna-Lena Kossek
Qualitätsmanagementbeauftragte
Dohuser Weg 10
26409 Wittmund
Phone:
04462
-86-2130
Mail:
ed.mtw-hk@kessok.anel-anna
interdisziplinäre Qualitätszirkel
Conference frequency: bei Bedarf
Risk management
Christina Buß
Risikomanager
Dohuser weg 10
26409 Wittmund
Phone:
04462
-86-2124
Fax: 04462-86-42124
Mail:
ed.mtw-hk@ssub.anitsirhc
interdisziplinäre Qualitätszirkel
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (03.02.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch / VA Notfallmanagement / VA Reanimationsablauf / VA Notfallmanagement OP (01.09.2021) |
| RM05 |
Pain management Risikomanagementhandbuch (03.02.2023) |
| RM06 |
Fall prophylaxis modifizierter Expertenstandard Sturzprophylaxe in der Pflege // / Erfassung im Pflegeassessment (15.05.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) modifizierter Expertenstandard Dekubitusprophylaxe in der Pflege (02.09.2024) |
| RM08 |
Regulated handling of custodial measures VA Betreuung_Fixierung (01.08.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch, Dienstanweisung zur Anwendung von Medizinprodukten (01.05.2017) |
| 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 Qualitätsmanagementhandbuch / WHO Checkliste / Patient Blood Management (16.05.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings VA allgemeine Fallbesprechung (01.12.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagementhandbuch / WHO-Checkliste / Patientenarmbänder/ VA Vermeidung von Eingriffsverwechselungen (01.01.2019) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagementhandbuch / Behandlungspfade / Pflegestandards postoperative Versorgung (01.08.2022) |
| RM18 |
Discharge management Qualitätsmanagementhandbuch (01.09.2019) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
EDV-gestützte Medikationsanordnungen, Absicherungen von Zuwegungen, Anpassung der Ausgabe von Blutprodukten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.02.2020 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |