Dealing with risks in patient care
Quality management
Frau Jennifer Benner
Leitung Qualitäts- und Risikomanagement
Klosterstrasse 32
40764 Langenfeld
Phone:
02241
-2509-9900
Mail:
ed.enilno-ofg@renneb.refinnej
Ärztlicher Direktor, Kaufmänner Direktor, Pflegedirektorin und QMB
Conference frequency: halbjährlich
Risk management
Jennifer Benner
Leitung Qualitäts- und Risikomanagement
40764 Langenfeld
Phone:
02241
-2509-9900
Fax: 02241-2509-9311
Mail:
ed.enilno-ofg@renneb.refinnej
Das Team des klinischen Risikomanagements tagt alle sechs Wochen, mindestens jedoch einmal in drei Monaten.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Organisationshandbuch (14.07.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Organisationshandbuch (14.07.2023) |
| RM05 |
Pain management Organisationshandbuch (14.07.2023) |
| RM06 |
Fall prophylaxis Standard Sturzprophylaxe (20.06.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (21.05.2024) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung (15.01.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch (14.07.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Organisationshandbuch (14.07.2023) |
| RM17 |
Standards for recovery and postoperative care Anästhesiestandards (09.05.2022) |
| RM18 |
Discharge management Über das KIS seit (01.10.2017) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Etablierung einer prozessorientierten Risikoanalyse.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.05.2023 |
| 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 |
|---|---|
| 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) |