Fabian Mundt
Leiter Qualitätsmanagement
Münsterstraße 240
44145 Dortmund
Phone:
0231
-953-21070
Mail:
ed.odmukinilk@tdnum.naibaf
Qualitätsmanagement, Geschäftsführung
Conference frequency: monatlich
Ksenja Wittemeier
IRS-Koordinatorin
Münsterstraße 240
44145 Dortmund
Phone:
0231
-953-21073
Fax: 0231-953-20097
Mail:
ed.odmukinilk@reiemettiw.ajnesk
Ksenja Wittemeier
IRS-Koordinatorin
Münsterstraße 240
44145 Dortmund
Phone:
0231
-953-21073
Fax: 0231-953-20097
Mail:
ed.odmukinilk@reiemettiw.ajnesk
Der Arbeitskreis CIRS setzt sich aus Mitarbeitern/Mitarbeiterinnen aus dem ärztlichen wie pflegerischen Dienst zusammen. Es sind sowohl chirurgische als auch internistische Fächer vertreten. Ebenso ist der Bereich der Kinderheilkunde eingebunden.Geleitet wird der AK durch das QM.
Conference frequency: monatlich
No. | Explanation |
---|---|
RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Nexus Curator (31.10.2023) |
RM02 |
Regular further education and training measures |
RM03 |
Employee surveys |
RM04 |
Clinical emergency management Nexus Curator (31.10.2023) |
RM05 |
Pain management Nexus Curator (31.10.2023) |
RM06 |
Fall prophylaxis Nexus Curator (31.10.2023) |
RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Nexus Curator (31.10.2023) |
RM08 |
Regulated handling of custodial measures Nexus Curator (31.10.2023) |
RM09 |
Regulated handling of occurring malfunctions of devices Nexus Curator (31.10.2023) |
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 Nexus Curator (31.10.2023) |
RM15 |
Preoperative, complete presentation of necessary findings Nexus Curator (31.10.2023) |
RM16 |
Procedure to avoid procedural and patient mix-ups Nexus Curator (31.10.2023) |
RM17 |
Standards for recovery and postoperative care Nexus Curator (31.10.2023) |
RM18 |
Discharge management Nexus Curator (31.10.2023) |
Conference frequency: monatlich
- Verbesserung der präoperativen Prozesse zur OP-Seitenmarkierung - Verbesserung des Medikamtionsprozesses zur Vermeidung von Medikamentenverwechselungen bei nicht benötigten Medikamenten in der Narkoseeinleitung
No. | Explanation |
---|---|
IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 26.07.2023 |
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 jährlich |
Conference frequency: monatlich
No. | Explanation |
---|---|
EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) |
EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |