Dealing with risks in patient care
Quality management
Benjamin Schmidt
Leitung Qualitätsmanagement und Organisationsentwicklung
Rübenkamp 220
22307 Hamburg
Phone:
040
-181882-8426
Mail:
moc.soipelksa@tdimhcs.neb
QZ Qualitätsmanagementbeauftrage
Conference frequency: quartalsweise
Risk management
Benjamin Schmidt
Leitung Qualitätsmanagement und Organisationsentwicklung
Rübenkamp 220
22307 Hamburg
Phone:
040
-181882-8426
Mail:
moc.soipelksa@tdimhcs.neb
Krankenhausleitung, Ärztliche Direktion, Pflegedirektion, Technik, Qualitätsmanagement
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Klinisches Risikomanagement (23.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Alarm- und Einsatzplan AK Barmbek (14.06.2024) |
| RM05 |
Pain management Leitlinie Schmerztherapie (02.01.2024) |
| RM06 |
Fall prophylaxis Sturzmanagement (02.09.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitus-Standard (02.09.2024) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (02.09.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik für die AK Barmbek (24.04.2024) |
| 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 Patientenorientiertes Blutmanagement (PBM) (24.04.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzept Klinisches Risikomanagement (23.03.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzept Klinisches Risikomanagement (23.03.2023) |
| RM17 |
Standards for recovery and postoperative care Konzept Klinisches Risikomanagement (23.03.2023) |
| RM18 |
Discharge management Konzept Klinisches Risikomanagement (23.03.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einführung von Patientenarmbändern, Einführung eines Standards zum Thema Bettschilder, Anschaffung neuer Gerätschaften zur besseren Patientenüberwachung (z.B. neue Monitore auf der Stroke Unit) uvm.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.03.2024 |
| 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 |
|---|---|
|
Other |
|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association) |
| EF14 |
CIRS Health Care |