Dealing with risks in patient care
Quality management
Wolfgang Bruners
Qualitäts- und Prozessmanager Somatik
Tangstedter Landstraße 400
22417 Hamburg
Phone:
040
-181887-9334
Mail:
moc.soipelksa@srenurb.ow
Geschäftsführender Direktor, Klinikmanager, Ärztlicher Direktor, Pflegedirektor
Conference frequency: quartalsweise
Risk management
Wolfgang Bruners
Qualitäts- und Prozessmanager Somatik
Tangstedter Landstraße 400
22417 Hamburg
Phone:
040
-181887-9334
Mail:
moc.soipelksa@srenurb.ow
Geschäftsführender Direktor, Klinikmanager, Ärztlicher Direktor, Pflegedirektor
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept: Klinisches Risikomanagement (23.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Statut für die Klinische Notfall- und Akutmedizin (25.09.2023) |
| RM05 |
Pain management Das Anästhesiehandbuch (18.10.2024) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (29.08.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusmanagement (22.11.2018) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (14.09.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (15.02.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss Konzept: Klinisches Risikomanagement (07.08.2018) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzept: Klinisches Risikomanagement (07.08.2018) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vermeidung von Eingriffsverwechselungen (07.08.2018) |
| RM17 |
Standards for recovery and postoperative care SOP Aufwachraum (15.08.2016) |
| RM18 |
Discharge management Entlassmanagement (07.04.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Überarbeitung / Aktualisierung von Verfahren, spez. Prozessbeschreibungen, spezifizierte Arbeitsanweisungen, Benennung und Bearbeitung der Themen in den fachabteilungsspezifischen Meldekreisen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.01.2023 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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 |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |