Dealing with risks in patient care
Quality management
Maike Dannenberg
Qualitätsbeauftragte
Am Krankenhaus 5
24211 Preetz
Phone:
04342
-801-461
Mail:
ed.zteerp-kinilk@grebnennad.m
Krankenhausleitung, Chefärzte, Ltd. Ärzte, Qualitätsbeauftragte
Conference frequency: monatlich
Risk management
Maike Dannenberg
Qualitätsbeauftragte
Am Krankenhaus 5
24211 Preetz
Phone:
04342
-801-461
Fax: 04342-801-317
Mail:
ed.zteerp-kinilk@grebnennad.m
Krankenhausleitung, Qualitätsbeauftragte, Chefärzte, ltd. Ärzte
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Handbücher (27.11.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM Handbücher (04.12.2023) |
| RM05 |
Pain management QM Handbücher (13.12.2022) |
| RM06 |
Fall prophylaxis QM Handbücher (26.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM Handbücher (22.05.2023) |
| RM08 |
Regulated handling of custodial measures QM Handbücher (26.05.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM Handbücher (23.11.2023) |
| 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 QM Handbücher (23.08.2023) |
| RM17 |
Standards for recovery and postoperative care QM Handbücher (04.07.2023) |
| RM18 |
Discharge management QM Handbücher (30.01.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Fortbildungen, Verwendung von Sicherheitschecklisten, Anpassung der postoperativen Patientenüberwachung, Anpassung der Medikamentenversorgung, Einführung MTS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 23.11.2023 |
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |