Dealing with risks in patient care

Quality management

Frau Anja Hermes

Pflegedienstleitung/RM/QMB

Schäferkampsallee 34
20357 Hamburg

Phone: 040 -44190-0
Mail: ed.grubmah-melasurej@ldp

OP, Anästhesie, stat. Pflege und QM bilden das ständige Gremium, zusätzliche Bereiche werden nach Bedarf involviert. Pandemiebedingte Abweichung!

Conference frequency: quartalsweise

Risk management

Anja Hermes

Pflegedienstleitung/RM/QMB

Moorkamp 2-6
20357 Hamburg

Phone: 040 -44190-0
Mail: ed.grubmah-melasurej@ldp

OP, Anästhesie, stat. Pflege und QM bilden das ständige Gremium, zusätzliche Bereiche werden nach Bedarf involviert. Pandemiebedingte Abweichung!

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

A. Hermes (17.01.2023)

RM02

Regular further education and training measures

RM04

Clinical emergency management

A. Hermes (19.09.2023)

RM05

Pain management

A.Hermes (19.05.2022)

RM06

Fall prophylaxis

A. Hermes (05.09.2022)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

A. Hermes (17.01.2023)

RM08

Regulated handling of custodial measures

A. Hermes (01.09.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
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

A. Hermes (01.09.2022)

RM15

Preoperative, complete presentation of necessary findings

A. Hermes (01.09.2022)

RM16

Procedure to avoid procedural and patient mix-ups

A.Hermes (01.09.2022)

RM17

Standards for recovery and postoperative care

A. Hermes (22.08.2022)

RM18

Discharge management

A. Hermes (01.09.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Auf Grund der geringen Anzahl von Meldungen kann keine aussagekräftige Bewertung stattfinden.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 17.01.2023

Conference committee

Conference frequency: