Dealing with risks in patient care

Quality management

Heike Steitz

Qualitäts-, Risikomanagement- und Patientensicherheitsbeauftragte

Ginnheimer Straße 3
60487 Frankfurt am Main

Phone: 069 -7939-4706
Mail: ed.demetra@ztiets.ekieh

Conference frequency:

Risk management

Heike Steitz

Qualitäts-, Risikomanagement- und Patientensicherheitsbeauftragte

Phone: 069 -7939-4706
Mail: ed.demetra@ztiets.ekieh

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM02

Regular further education and training measures

RM04

Clinical emergency management

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM05

Pain management

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM06

Fall prophylaxis

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM07

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

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM08

Regulated handling of custodial measures

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM09

Regulated handling of occurring malfunctions of devices

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Qualitätszirkel
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

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM15

Preoperative, complete presentation of necessary findings

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM16

Procedure to avoid procedural and patient mix-ups

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM17

Standards for recovery and postoperative care

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

RM18

Discharge management

Elektronisches Organisationshandbuch BIT QMS (03.07.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Einführung der Checkliste TEAM TIME OUT für alle operativen Fächer.

No. Explanation
IF01

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

As of: 28.11.2022

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 bei Bedarf

Conference committee

Conference frequency: