Dealing with risks in patient care
Quality management
Daniel Kreidl
Qualitätsmanagementbeauftrager
Siepenstraße 33
42477 Radevormwald
Phone:
02191
-797-775
Mail:
ed.anas@ldierk.leinad
Geschäftsführung, Ärztlicher Direktor, Pflegedirektion, Kaufmännische Direktorin, QMB
Conference frequency: monatlich
Risk management
Yvonne Loewen
Risikomanagement/QM
Siepenstraße 33
42477 Radevormwald
Phone:
02195
-600-377
Mail:
ed.anas@neweol.ennovy
Geschäftsführung, Ärztlicher Direktor, Pflegedirektion, Kaufmännische Direktorin, QMB
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VA Fehler- und Risikomanagement (17.10.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Alarmierung bei vital bedrohlichem Notfall (13.05.2024) |
| RM05 |
Pain management VA Allgemeine Schmerztherapie (24.10.2024) |
| RM06 |
Fall prophylaxis VA Sturzprophylaxe (18.10.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (27.08.2024) |
| RM08 |
Regulated handling of custodial measures VA Fixierung (04.01.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Dok Samba-Handbuch (10.11.2023) |
| 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 VA Chirurgischer-Sicherheits-Check (12.09.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings VA Chirurgischer-Sicherheits-Check (12.09.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Umgang mit Patientenidentifikationsarmbändern (08.01.2024) |
| RM17 |
Standards for recovery and postoperative care VA Patientenversorgung Aufwachraum (24.10.2024) |
| RM18 |
Discharge management VA Entlassmanagement (05.04.2024) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Als Fehlermeldesystem kommt ein hausinternes CIRS zur Anwendung.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 18.07.2023 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: