Dealing with risks in patient care
Quality management
Dr. Christina Ganz
Abteilungsleitung Prozess- und Qualitätsmanagement
Humboldtstraße 5
30169 Hannover
Phone:
0511
-289-2038
Mail:
ed.erevokaid@znag.anitsirhc
Medizinische Direktion Prozess- und Qualitätsmanagement
Conference frequency: wöchentlich
Risk management
Christina Ganz
Abteilungsleitung Prozess- und Qualitätsmanagement
30020 Hannover
Phone:
0511
-289-2038
Mail:
ed.erevokaid@znag.anitsirhc
Medizinische Direktion Prozess- und Qualitätsmanagement
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (24.10.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM-Handbuch (24.10.2023) |
| RM05 |
Pain management Teil der QM-Dokumentation (09.08.2022) |
| RM06 |
Fall prophylaxis Teil der QM-Dokumentation (30.03.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Teil der QM-Dokumentation (30.03.2022) |
| RM08 |
Regulated handling of custodial measures Teil der QM-Dokumentation (23.08.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Teil der QM-Dokumentation (03.04.2023) |
| 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 Teil der QM-Dokumentation (31.03.2022) |
| RM18 |
Discharge management Teil der QM-Dokumentation (27.07.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
z.B. Verbesserung der Arzneimittelsicherheit durch Vermeidung von Look-Alikes, Anschaffung von Bergetüchern für spezielle Notfallsituationen auf Station, Vereinheitlich von Beatmungsbeuteln.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.04.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |