Dealing with risks in patient care

Quality management

Dr. med. Stefanie Reinhardt

Oberärztin Herzchirurgie

Buchforststraße 2
51103 Köln

Phone: 0221 -985292-62
Mail: ed.nleok-cinilcoidrac@tdrahnier

Conference frequency:

Risk management

Barbara Limpers

Ärztliche Direktorin

Phone: 0221 -985292-23
Fax: 0221-985292-99
Mail: ed.nleok-cinilcoidrac@srepmil

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM05

Pain management

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM06

Fall prophylaxis

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM07

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

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM08

Regulated handling of custodial measures

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Heart-Team-Konferenzen
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

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM15

Preoperative, complete presentation of necessary findings

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM16

Procedure to avoid procedural and patient mix-ups

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM17

Standards for recovery and postoperative care

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

RM18

Discharge management

Verfahrensanweisung Risikomanagement der Uniklinik Köln (09.05.2016)

Fault reporting systems

Conference committee

Conference frequency:

Measures

No. Explanation
Conference committee

Conference frequency:

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)

EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea