Dealing with risks in patient care

Quality management

Monique Bertram

QMB

Wiesenbek 7 - 10
37431 Bad Lauterberg

Phone: 05524 -858-240
Mail: ed.yksnihcsuM@martreBeuqinoM

QMB, Funktionsbereiche, Geschätsleitung

Conference frequency: monatlich

Risk management

Monique Bertram

QMB

Wiesenbek 7 - 10
37431 Bad Lauterberg

Phone: 05524 -858-240
Fax: 05524-858-9240
Mail: ed.yksnihcsuM@martreBeuqinoM

QMB, Funktionsbereiche, Geschäftsleitung

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätssicherungsstatus (23.07.2024)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

PB C.U.5.6 Notfallmanagement (27.10.2022)

RM05

Pain management

PD_FP Schmerzbogen (13.01.2023)

RM06

Fall prophylaxis

PD_PS Sturzprophylaxe (29.03.2023)

RM07

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

PD_PS Dekubitusprophylaxe (29.03.2023)

RM09

Regulated handling of occurring malfunctions of devices

MP_VA Umgang mit Medizinprodukten (10.02.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM18

Discharge management

Entlassmanagement Akut (17.11.2022)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Befragung unserer Patienten

No. Explanation
IF01

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

As of: 12.11.2023

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 bei Bedarf

Conference committee

Conference frequency: