Dealing with risks in patient care
Quality management
Herr Oliver Steidle
Leitung Stabsstelle Qualitätsmanagement und klinisches Risikomanagement
Heerstraße (Eingang: Königgrätzer Straße) 219
47053 Duisburg
Phone:
0201
-723-8052
Mail:
ed.nesse-ku@eldiets.revilo
Vorstand, Chief Patient Safety Officer (CPSO), Leitung Stabsstelle Qualitätsmanagement und klinisches Risikomanagement
Conference frequency: quartalsweise
Risk management
Ruth Hecker
Chief Patient Safety Officer (CPSO)
Heerstraße 219
47053 Duisburg
Phone:
0201
-723-1493
Fax: 0201-723-5225
Mail:
ed.nesse-ku@rekceh.htur
Vorstand, Chief Patient Safety Officer (CPSO), Leitung Stabsstelle Qualitätsmanagement und klinisches Risikomanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QMH UK Essen (29.12.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QMH UK Essen (29.12.2023) |
| RM05 |
Pain management QMH UK Essen (29.12.2023) |
| RM06 |
Fall prophylaxis QMH UK Essen (29.12.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QMH UK Essen (29.12.2023) |
| RM08 |
Regulated handling of custodial measures QMH UK Essen (29.12.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices QMH UK Essen (29.12.2023) |
| 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 QMH UK Essen (29.12.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings QMH UK Essen (29.12.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QMH UK Essen (29.12.2023) |
| RM17 |
Standards for recovery and postoperative care QMH UK Essen (29.12.2023) |
| RM18 |
Discharge management QMH UK Essen (29.12.2023) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Patientensicherheit ist ein fester Bestandteil des Qualitäts- und klinischen Risikomanagements. Aus Fehlern lernen!
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.12.2023 |
| 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 quartalsweise |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association) |
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |
| 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) |
| EF14 |
CIRS Health Care |