Dealing with risks in patient care
Quality management
Simon Mendel
Leitung Qualitätsmanagement und Leitbildumsetzung
Am Heessener Wald 1
59073 Hamm
Phone:
02381
-681-1049
Mail:
ed.kinilkarabrab@lednems
Direktorium, Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management
Simon Mendel
Leitung Qualitätsmanagement und Leitbildumsetzung
Am Heessener Wald 1
59073 Hamm
Phone:
02381
-681-1049
Mail:
ed.kinilkarabrab@lednems
Direktorium, Qualitätsmanagement
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch, Konzept Risikomanagement (07.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement (22.07.2022) |
| RM05 |
Pain management Management der allgemeinen und speziellen Schmerztherapie (21.10.2022) |
| RM06 |
Fall prophylaxis Sturzprophylaxe in der Pflege (26.08.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (09.10.2023) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (26.08.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Inbetriebnahme und Anwendung von aktiven Medizinprodukten (31.10.2022) |
| 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 Checkliste sicheres Operieren (14.09.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Checkliste sicheres Operieren (14.09.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Sichere Patientenidentifikation (01.09.2022) |
| RM17 |
Standards for recovery and postoperative care Perioperative Patientenversorgung (29.09.2022) |
| RM18 |
Discharge management Entlassmanagement (09.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
kontinuierliche Prozessoptimierung in unterschiedlichen Bereichen, z. B. Sensibilisierung für ähnlich aussehende Medikamentenpackungen, Verbesserung von Alarmierungsverfahren u.v.a.m.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.10.2022 |
| 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 quartalsweise |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |
|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |