Dealing with risks in patient care
Quality management
Ute Wanders
Leitung Qualitäts- und Risikomanagement
Munckelstraße 27
45879 Gelsenkirchen
Phone:
0209
-16058022-
Mail:
ed.eg-kve@srednaw
Ute Wanders
Leitung Qualitäts- und Risikomanagement
Munckelstraße 27
45879 Gelsenkirchen
Phone:
0209
-16058022-
Mail:
ed.eg-kve@srednaw
Kliniken Ärzte und Pflege/Verwaltung
Conference frequency: monatlich
Risk management
Ute Wanders
Leitung Qualitäts- und Risikomanagement
45805 Gelsenkirchen
Phone:
0209
-160-58022
Mail:
ed.eg-kve@srednaw
Kliniken Ärzte und Pflege/Verwaltung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH (26.05.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Innerklinisches Notfallmanagement (05.08.2022) |
| RM05 |
Pain management Schmerzmanagement in der Pflege bei akuten Schmerzen Schmerzmanagement in der Pflege bei chronischen Schmerzen (02.07.2021) |
| RM06 |
Fall prophylaxis Sturzprophylaxe und Expertenstandard "Sturzprophyaxe" (04.05.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard "Dekubitusprophylaxe in der Pflege" (04.05.2023) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen Fixierung von Patienten (28.08.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Umsetzung der Medizinproduktebetreiberverordnung (26.09.2022) |
| 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 (12.08.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste / KIS (12.08.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups AA OP-Vorbereitung, OP-Checkliste (12.08.2021) |
| RM17 |
Standards for recovery and postoperative care Anästhesiologisches Management im Aufwachraum (18.11.2021) |
| RM18 |
Discharge management VA -0151 Umsetzung der Rahmenvereinbarung §39 Abs 1a Satz 9 SGB V (26.09.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Medikationssicherheit, Kurvenvisite durch die Apotheke, Mitarbeiterschulungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.10.2020 |
| 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 monatlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| 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 |