Dealing with risks in patient care

Quality management

Thomas Ostriga

QMB

Brühlstrasse 33
32423 Minden

Phone: 0571 -8700-333
Mail: ed.kinilktdatsnenni@agirtso.samoht

Thomas Ostriga

QMB

Brühlstrasse 33
32423 Minden

Phone: 0571 -8700-333
Mail: ed.kinilktdatsnenni@agirtso.samoht

Abteilung QM

Conference frequency: quartalsweise

Risk management

Thomas Ostriga

Risikomanagementbeauftragte


32423 Minden

Phone: 0571 -8700-333
Fax: 0571-8700-351
Mail: ed.kinilktdatsnenni@agirtso.samoht

Thomas Ostriga

Risikomanagementbeauftragte


32423 Minden

Phone: 0571 -8700-333
Fax: 0571-8700-351
Mail: ed.kinilktdatsnenni@agirtso.samoht

Abteilung QM

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

Audit (16.05.2023)

RM02

Regular further education and training measures

Schulungsplan (01.04.2019)

RM03

Employee surveys

RM04

Clinical emergency management

VA-MED-Pflege-0001 (14.04.2014)

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

RM15

Preoperative, complete presentation of necessary findings

CL-Med-OP 0001 (02.03.2019)

RM16

Procedure to avoid procedural and patient mix-ups

CL-Med-OP 0001 (02.03.2019)

RM17

Standards for recovery and postoperative care

CL-Med-Pflege 003 (15.02.2015)

RM18

Discharge management

CL-Med-Pflege 003 (15.02.2019)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Maßnahmen des einrichtungsinternen Fehlermeldesystems.

No. Explanation
IF01

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

As of: 01.10.2019

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: quartalsweise

No. Explanation

Other

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