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
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 QM-Handbuch (03.11.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Alarmierung bei vital bedrohlichem Notfall (03.12.2020) |
| RM05 |
Pain management VA Allgemeine Schmerztherapie (03.12.2020) |
| RM06 |
Fall prophylaxis VA Sturzprophylaxe (19.10.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (03.12.2020) |
| RM08 |
Regulated handling of custodial measures VA Fixierung (19.10.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Dok Samba-Handbuch (Sana aktive medizinprodukte betreiben und anwenden) (01.09.2021) |
| 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 (04.10.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings VA Chirurgischer-Sicherheits-Check (04.10.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Umgang mit Patientenidentifikationsarmbändern (25.09.2021) |
| RM17 |
Standards for recovery and postoperative care VA Patientenversorgung Aufwachraum (18.08.2021) |
| RM18 |
Discharge management VA Entlassmanagement (01.03.2022) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
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: 22.10.2021 |
| 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: