Dealing with risks in patient care
Quality management
Frank Schneider
Qualitäts- und Risikomanagement
Preußenstraße 84
41464 Neuss
Phone:
02131
-888-7015
Mail:
ed.mukinilkdnalniehr@redienhcs.knarf
Qualitäts- und Risikomanagement, Pflegedienstleitung, Abt.Betrieb, Justiziariat, IT, Klinikmanager
Conference frequency: monatlich
Risk management
Frank Schneider
Qualitäts- und Risikomanagement
Phone:
02131
-888-7015
Fax: 02131-888-7099
Mail:
ed.mukinilkdnalniehr@redienhcs.knarf
Qualitäts- und Risikomanagement, Pflegedienstleitung, Abt.Betrieb, Justiziariat, IT, Klinikmanager
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Statut des Qualitätsmanagementsystems, Konzept Risikomanagementsystem, Statut und VA Fehlermeldesystem, Veröffentlichung CIRS, Kurzanleitung Organisationshandbuch, VA Befragung, VA interne Audits und Begehungen (21.01.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Handlungsanweisung Klinisches Notfallmanagement (12.01.2021) |
| RM05 |
Pain management Standard Schmerztherapie (20.02.2021) |
| RM06 |
Fall prophylaxis Statut des Qualitätsmanagementsystems, Konzept Risikomanagementsystem, Statut und VA Fehlermeldesystem, Veröffentlichung CIRS, Kurzanleitung Organisationshandbuch, VA Befragung, VA interne Audits und Begehungen (21.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (07.06.2021) |
| RM08 |
Regulated handling of custodial measures VA Fixierung eines Patienten (16.02.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisungen Medizinprodukte (18.04.2024) |
| 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 Checkliste OP-Vorbereitung und Patientensicherheit (19.06.2024) |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste OP-Vorbereitung und Patientensicherheit (19.06.2024) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Patientenidentifikationsarmband (15.05.2024) |
| RM17 |
Standards for recovery and postoperative care Standard für die postoperative Überwachung (10.09.2024) |
| RM18 |
Discharge management VA Entlassung und externe Verlegung (10.06.2024) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
VA Fehlermeldesystem CIRS / EMO, VA Meldung von Mitarbeitern, FO CIRS Meldung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.02.2023 |
| 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 quartalsweise |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association) |