Dealing with risks in patient care
Quality management
Maya Brand
Qualitätsmanagementbeauftragte
Kronsforder Allee 71-73
23560 Lübeck
Phone:
0451
-585-1861
Mail:
ed.anas@dnarb.ayam
Geschäftsführung, Pflegedirektor, Personal und Organisation, Ärztlicher Direktor, Klinikmanager, Kaufmännische Leitung
Conference frequency: monatlich
Risk management
Maya Brand
Qualitätsmanagementbeauftragte
Kronsforder Allee 71-73
23560 Lübeck
Phone:
0451
-585-1861
Mail:
ed.anas@dnarb.ayam
Geschäftsführung, Pflegedirektor, Personal und Organisation, Ärztlicher Direktor, Klinikmanager, Kaufmännische Leitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Regelhafte externe Risikoaudits (23.09.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Interner Notfallalgorithmus (31.05.2021) |
| RM05 |
Pain management Perioperative Schmerztherapie (01.11.2018) |
| RM06 |
Fall prophylaxis Sturzprophylaxe bei erwachsenen Patienten (25.08.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (08.08.2017) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (03.09.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Lenkung fehlerhafter Produkte (09.11.2020) |
| 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 WHO-OP-Checkliste (15.12.2017) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO-OP-Checkliste (15.12.2017) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Patientenidentifikation (08.12.2021) |
| RM17 |
Standards for recovery and postoperative care Überwachung von Patienten im Aufwachraum (11.01.2018) |
| RM18 |
Discharge management Entlassmanagement (18.05.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Umgesetzte Veränderungsmaßnahmen werden jährlich in einem Managementgespräch nach DIN EN ISO 9001:2015 Norm bewertet.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 18.05.2018 |
| 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 committee
Conference frequency: