Dealing with risks in patient care
Quality management
Dipl. Pflegewirt Ingo Rollin
Geschäftsbereichsleiter Patientensicherheit und Qualität
Ellernholzstraße 1-2
17489 Greifswald
Phone:
03834
-86-22469
Mail:
ed.dlawsfierg-inu.dem@nillor.ogni
In allen Kliniken gibt es benannte ärztliche und pflegerische Ansprechpartner für qualitätsrelevante Themen. Das Zentrale Qualitätsmanagement organisiert "QMB-Runden", zu denen die Ansprechpartner eingeladen werden. Themen sind bspw. Zertifizierungen, Befragungen, Weiterentwicklungen des QM-Systems.
Conference frequency: bei Bedarf
Risk management
Ingo Rollin
Geschäftsbereichsleiter Patientensicherheit und Qualität
Phone:
03834
-86-22469
Fax: 03834-86-5227
Mail:
ed.dlawsfierg-inu.dem@nillor.ogni
Katherin Tabel
Klinisches Risikomanagement
Phone:
03834
-86-5024
Fax: 03834-86-795207
Mail:
ed.dlawsfierg-inu.dem@lebat.nirehtak
Risikomanagement
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Managementhandbuch Qualitäts- und Risikomanagement (15.11.2019) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Verfahrensanweisung Notfallmanagement/ Herzalarm (19.06.2019) |
| RM05 |
Pain management Geschäftsordnung QM Akutschmerz (31.08.2021) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (24.08.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (19.06.2019) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Notwendige freiheitsentziehende Maßnahmen (09.05.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Managementhandbuch Qualitäts- und Risikomanagement (15.11.2019) |
| 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 OP-Checkliste (07.01.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste (07.01.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP Checkliste (07.01.2021) |
| RM17 |
Standards for recovery and postoperative care Postoperative Schmerztherapie im Aufwachraum (28.09.2021) |
| RM18 |
Discharge management Entlassungsmanagement (02.07.2019) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Patientenidentifikationsarmband; OP-Checklisten, Teilnahme am Tag der Patientensicherheit, Posteraktionen, regelmäßige interne Risikobegehungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.08.2021 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |