Dealing with risks in patient care
Quality management
Dorothee Hardenbicker
Qualitätsmanagementbeauftragter
Uferstraße 7
57368 Lennestadt
Phone:
02761
-85-2158
Mail:
ed.enilno-ofg@rekcibnedrah.eehtorod
Dorothee Hardenbicker
Qualitätsmanagementbeauftragter
Uferstraße 7
57368 Lennestadt
Phone:
02761
-85-2158
Mail:
ed.enilno-ofg@rekcibnedrah.eehtorod
Betriebsleitung
Conference frequency: monatlich
Risk management
Dorothee Hardenbicker
Qualitätsmanagementbeauftragter
Uferstraße 7
57368 Lennestadt
Phone:
02761
-85-2158
Fax: 02761-85-2800
Mail:
ed.enilno-ofg@rekcibnedrah.eehtorod
Dorothee Hardenbicker
Qualitätsmanagementbeauftragter
Uferstraße 7
57368 Lennestadt
Phone:
02761
-85-2158
Fax: 02761-85-2800
Mail:
ed.enilno-ofg@rekcibnedrah.eehtorod
Das Zentrale CIRS-Team (interprofessionelle Zusammensetzung) wird durch die Mitarbeiter:innen des Qualitätsmanagements moderiert
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM05 |
Pain management Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM06 |
Fall prophylaxis Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM08 |
Regulated handling of custodial measures Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| 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 Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM17 |
Standards for recovery and postoperative care Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
| RM18 |
Discharge management Organisationshandbuch der GFO Kliniken Südwestfalen (21.02.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
strukturiertes Fehlermanagement nach den Vorgaben der DIN EN ISO 9001:2015 etabliert
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 21.02.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| 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 |