Dealing with risks in patient care
Quality management
Dipl-Pflegew. Anke Brandenburger
Qualitätsmanagementbeauftragte
Carnaper Straße 48
42283 Wuppertal
Phone:
0202
-299-0
Mail:
ed.nennitillec@surtep-hk.ofni
Geschäftsführung, Betriebsleitung, Mitarbeitervertretung, Stabstelle Medizinstrategie und Prozessmanagement, Qualitäts- und Risikomanagement
Conference frequency: andere Frequenz
Risk management
Anke Brandenburger
Qualitätsmanagementbeauftragte
Carnaper Straße 48
42283 Wuppertal
Phone:
0202
-299-0
Fax: 0202-299-1009
Mail:
ed.nennitillec@surtep-hk.ofni
Mitarbeiter des ärztlichen, pflegerischen und therapeutischen Teams sowie Mitarbeiter des Qualitäts- und Risikomanagements
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualität und Patientensicherheit - Strategie 2.0 (10.02.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Reanimation (14.09.2020) |
| RM05 |
Pain management KAJ Management der Akutschmerztherapie (23.07.2020) |
| RM06 |
Fall prophylaxis KAJ Sturzvermeidung und Sturzdokumentation (05.09.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitus-Risiko-Erkennung und Dekubitusvermeidung (13.08.2021) |
| RM08 |
Regulated handling of custodial measures Grundlagen zum Umgang mit freiheitsentziehenden Maßnahmen (24.01.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Vorgehen im Falle eines Vorkommnis durch ein Medizinprodukt (01.02.2022) |
| 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 KAJ OP-Sicherheitscheckliste (14.08.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Präoperative Patientenvorbereitung (08.03.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups KAJ Markierung OP-Gebiet; Patientenarmband (07.12.2020) |
| RM17 |
Standards for recovery and postoperative care Postoperative Therapie im Aufwachraum (11.02.2022) |
| RM18 |
Discharge management KAJ Ablauf Sozialdienst (26.03.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
kontinuierliche Verbesserungen der Prozesse z.B. im Zusammenhang mit der Arzneimitteltherapiesicherheit
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 02.03.2021 |
| 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: halbjährlich
| 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 |
| EF13 |
DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA) |