Dealing with risks in patient care

Quality management

Dörte Lemmer

Qualitätsmanagerin

Klosterstraße 2a
50126 Bergheim

Phone: 02421 -40-2563
Mail: ed.rvl@tnemeganamsteatilauQ.nereuDKR

Klinikvorstand mit Stellvertretern und QM-Team

Conference frequency: andere Frequenz

Risk management

Dörte Lemmer

Qualitätsmanagerin

Klosterstraße 2a
50126 Bergheim

Phone: 02421 -40-2563
Mail: ed.rvl@tnemeganamsteatilauQ.nereuDKR

Klinikvorstand mit Stellvertretern und QM-Team

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

Risikomanagement in der LVR-Klinik Düren (26.01.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Notfälle in der LVR-Klinik Düren (26.10.2021)

RM05

Pain management

Behandlungsmuster: Behandlung von Schmerzen (05.02.2014)

RM06

Fall prophylaxis

Pflegeablaufstandard: Sturzprophylaxe (24.06.2019)

RM07

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

VA Dekubitus (02.02.2018)

RM08

Regulated handling of custodial measures

LVR-Rundverfügung Nr. 1 (01.10.2022)

RM09

Regulated handling of occurring malfunctions of devices

Umgang mit unerwünschten Arzneimittel-Wirkungen und Vorkommnissen mit Medizinprodukten (16.02.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • z. B. Reanimationsbesprechungen
RM18

Discharge management

Entlassungen im KHG-Bereich (31.10.2019)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

Weitere Ausbreitung des Safeward-Konzepts in der Klinik.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 16.08.2019

IF02

Internal evaluation of the received reports

taken halbjährlich

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: jährlich

No. Explanation
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