Dealing with risks in patient care
Quality management
Sonja Seese
Qualitätsmanagementbeauftragte
Karl-Herold-Straße 1
38723 Seesen
Phone:
05381
-741389-
Mail:
moc.soipelksa@nesees.mq
Mitglieder des QM-Lenkungsgremiums
Conference frequency: monatlich
Risk management
Sonja Seese
Qualitätsmanagementbeauftragte
Karl-Herold-Str. 1
38723 Seesen
Phone:
05381
-741389-
Mail:
moc.soipelksa@nesees.mq
Mitglieder des QM-Lenkungsgremiums
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Klinisches Risikomanagement (15.01.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung zur Notfallversorgung (15.02.2022) |
| RM05 |
Pain management Standard Schmerz (13.01.2022) |
| RM06 |
Fall prophylaxis Standard Sturzprophylaxe (26.10.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (03.07.2020) |
| RM08 |
Regulated handling of custodial measures Umgang mit freiheitsentziehenden Maßnahmen (21.07.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (18.03.2019) |
| 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 Asklepios Sicherheits-Checkliste OP (24.02.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Asklepios Sicherheits-Checkliste OP (24.02.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernstandard Vermeidung einer Eingriffsverwechslung (24.02.2022) |
| RM17 |
Standards for recovery and postoperative care Konzernstandard Vermeidung einer Eingriffsverwechslung (24.02.2022) |
| RM18 |
Discharge management Standard Entlassungsmanagement (17.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
z.B. Schulungen, Reparaturen, Baumaßnahmen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 15.01.2021 |
| 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 quartalsweise |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |