Dealing with risks in patient care
Quality management
Jennifer Benner
Leitung zentrales Qualitäts- und Risikomanagement (Geschäftsbereich Krankenhäuser)
Walder Straße 34-38
40724 Hilden
Phone:
02241
-25099-900
Mail:
ed.enilno-ofg@renneb.refinnej
Ärztlicher Direktion, Kaufmännische Direktion, Pflegedirektion und Qualitätsmanagement
Conference frequency: halbjährlich
Risk management
Jennifer Benner
Leitung zentrales Qualitäts- und Risikomanagement (Geschäftsbereich Krankenhäuser)
Walder Straße 34-38
40724 Hilden
Phone:
02241
-25099-900
Fax: 02241-25099-311
Mail:
ed.enilno-ofg@renneb.refinnej
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Verfahrensanweisung: "HIL | VA | Interner medizinischer Notfall - Reanimation - Notfallmanagement" (18.06.2024) |
| RM05 |
Pain management Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
| RM06 |
Fall prophylaxis Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung: "Standard Dekubitusprophylaxe" (17.05.2023) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung: "Freiheitsentziehende Maßnahmen" (22.06.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisung: "GKM | VA | Anwendung von Medizinprodukten" (15.10.2024) |
| 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 Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
| RM15 |
Preoperative, complete presentation of necessary findings Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
| RM17 |
Standards for recovery and postoperative care Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
| RM18 |
Discharge management Im Intranet: GKM|Organisationshandbuch (01.01.2025) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Verbesserung der Patientensicherheit
| 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: bei Bedarf
| 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) |