Dealing with risks in patient care
Quality management
Dipl. Betriebsw. (DH) Carmen Stegmeier
Klinische Prozessmanagerin
Gartenstr. 21
74564 Crailsheim
Phone:
07951
-490-120
Mail:
ed.miehsliarc-mukinilk@reiemgets.nemrac
Pflege-und Funktionsdienst (jeweils ein Vertreter der Abteilung),Pflegedienstleitung,Prozess- und Qualitätsmanagement,je nach Themenstellung werden Fachkräfte aus weiteren Bereichen hinzugezogen (z. B. Hygiene).
Conference frequency: quartalsweise
Risk management
Carmen Stegmeier
Klinische Prozessmanagerin
Phone:
07951
-490-120
Fax: 07951-490-154
Mail:
ed.miehsliarc-mukinilk@reiemgets.nemrac
Projektgruppe "Risikomanagement" zur Überwachung des Risikomanagementsystems: Vertreter der Fachabteilungen (Ärzte und Pflegefachkräfte), Vertreter des Klinischen Prozessmanagements / Qualitätsmanagements
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM05 |
Pain management PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM06 |
Fall prophylaxis PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM08 |
Regulated handling of custodial measures PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM17 |
Standards for recovery and postoperative care PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
| RM18 |
Discharge management PZ-RM-Risikomanagement & PZ-RM-CIRS (19.08.2021) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Schockraumalarmierung VA überarbeitet – neuer Ablauf -; Eindeutige Festlegung Einbestellmodus in OP Konferenz ; Abteilungsinterne (Gastroenterologie) Umstrukturierung: Bestellung BTM erst nach Absprache CA ; Kontrollen BTM mit ernanntem Stationsarzt und Chefarzt (1xMonat) ; Erstellung VA Umgang mit dem Totenbescheinigung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 08.07.2019 |
| 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 jährlich |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF14 |
CIRS Health Care |