Dealing with risks in patient care

Quality management

Johanna Meschede

Direktion Klinische Organisation

Reumontstraße 28
33102 Paderborn

Phone: 05251 -401-205
Mail: ed.tfitssinnahoj@edehcsem.j

Conference frequency:

Risk management

Johanna Meschede

Direktion Klinische Organisation


33054 Paderborn

Phone: 05251 -401-205
Mail: ed.tfitssinnahoj@edehcsem.j

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

QM-Krankenhaus (31.12.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM-Krankenhaus (31.12.2021)

RM05

Pain management

QM-Krankenhaus (31.12.2021)

RM06

Fall prophylaxis

QM-Krankenhaus (31.12.2021)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

QM-Krankenhaus (31.12.2021)

RM08

Regulated handling of custodial measures

QM-Krankenhaus (31.12.2021)

RM09

Regulated handling of occurring malfunctions of devices

QM-Krankenhaus (31.12.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
  • Pathologiebesprechungen
  • Palliativbesprechungen
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

QM-Krankenhaus (31.12.2021)

RM15

Preoperative, complete presentation of necessary findings

QM-Krankenhaus (31.12.2021)

RM16

Procedure to avoid procedural and patient mix-ups

QM-Krankenhaus (31.12.2021)

RM17

Standards for recovery and postoperative care

QM-Krankenhaus (31.12.2021)

RM18

Discharge management

QM-Krankenhaus (31.12.2021)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Patientenarmband, Team-Time-Out im Operationsbereich, Risikoanalysen und Begehung zur Hygiene, Risikoanalysen und Begehungen zur Arbeitssicherheit, Q-Meldesystem und weitere Instrumente.

No. Explanation
IF02

Internal evaluation of the received reports

taken bei Bedarf

Conference committee

Conference frequency: