Dealing with risks in patient care
Quality management
Anne Urban
Qualitätsmanagementbeauftragte
Heilstättenweg 1
27777 Ganderkesee
Phone:
04223
-71-208
Mail:
ed.ohtro-munets@nabru
Ärztlicher Dienst, Klinikleitung, OP-Personal, Qualitätsmanagement, Verwaltungsleitung, Physiotherapie, IT
Conference frequency: jährlich
Risk management
Ärztlicher Dienst, Klinikleitung, OP-Personal, Qualitätsmanagement, Verwaltungsleitung, Physiotherapie, IT
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Integriertes Managementsystem (01.01.2015) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Integriertes Managementsystem (01.01.2015) |
| RM05 |
Pain management Integriertes Managementsystem (01.01.2015) |
| RM06 |
Fall prophylaxis Integriertes Managementsystem (01.01.2015) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Integriertes Managementsystem (01.01.2015) |
| RM09 |
Regulated handling of occurring malfunctions of devices Integriertes Managementsystem (01.01.2015) |
| 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 Integriertes Managementsystem (01.01.2015) |
| RM15 |
Preoperative, complete presentation of necessary findings Integriertes Managementsystem (01.01.2015) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Integriertes Managementsystem (01.01.2015) |
| RM17 |
Standards for recovery and postoperative care Integriertes Managementsystem (01.01.2015) |
| RM18 |
Discharge management Integriertes Managementsystem (01.01.2015) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Monatliches CIRS-Sitzung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.01.2016 |
| 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 bei Bedarf |
Conference committee
Conference frequency: