Dealing with risks in patient care
Quality management
Marcel Blaeschke
Leiter Patientenverwaltung/QM-Beauftragter
Woogtal Str. 7
61462 Königstein im Taunus
Phone:
06174
-208-120
Mail:
ed.nietsgineok-fesoj-ts@gnutlawrevnetneitap
Geschäftsführung, ärztlicher Direktor, Pflegedienstleitung, Hygiene
Conference frequency: halbjährlich
Risk management
Marcel Blaeschke
Leiter Patientenverwaltung/QM-Beauftragter
Woogtal Str. 7
61462 Königstein im Taunus
Phone:
06174
-208-120
Fax: 06174-208-155
Mail:
ed.nietsgineok-fesoj-ts@gnutlawrevnetneitap
Geschäftsführung, ärztlicher Direktor, Pflegedienstleitung, Hygiene
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- & Risikohandbuch (31.10.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Qualitäts- & Risikohandbuch (31.10.2023) |
| RM05 |
Pain management Qualitäts- & Risikohandbuch (31.10.2023) |
| RM06 |
Fall prophylaxis Qualitäts- & Risikohandbuch (31.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitäts- & Risikohandbuch (31.10.2023) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch und Risikohandbuch (31.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitäts- & Risikohandbuch (31.10.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM Handbuch und Risikohandbuch (31.10.2023) |
| RM18 |
Discharge management Qualitäts- & Risikohandbuch (31.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Interdisziplinäre, berufsübergreifende Fallbesprechung, Regelmäßige CIRS Newsletter an alle Mitarbeiter - Info & Schulung über Prozessrisiken: "Medikation", "Schmerzmanagement", "Dekubitus" und "Sturzprävention" - Nutzung von Patientenidentifikationsarmbänder bei allen stationären Aufnahmen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.10.2023 |
| 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 |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |