Dealing with risks in patient care

Quality management

Dipl.-Pflegew. (FH) Heike Spiegel

Qualitätsmanagerin

Hospitalhof 1
66606 St. Wendel

Phone: 0681 -889-2252
Mail: ed.nekinilk-ghs.bs@legeips.h

Steuerkreissitzung, Teilnehmer: Verwaltungsdirektor, stellv. Verwaltungsdirektorin, Ärztlicher Direktor, stellv. Ärztliche Direktorin, Pflegedirektor, stellv. Pflegedirektoren, Qualitätsmanagement, Betriebsrat

Conference frequency: quartalsweise

Risk management

Heike Spiegel

Qualitätsmanagerin

Phone: 0681 -889-2252
Fax: 0681-889-2105
Mail: ed.nekinilk-ghs.bs@legeips.h

Steuerkreissitzung, Teilnehmer: Verwaltungsdirektor, stellv. Verwaltungsdirektorin, Ärztlicher Direktor, stellv. Ärztliche Direktorin, Pflegedirektor, stellv. Pflegedirektoren, Qualitätsmanagement, Betriebsrat

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

RM05

Pain management

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

RM06

Fall prophylaxis

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

RM07

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

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

RM08

Regulated handling of custodial measures

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

RM09

Regulated handling of occurring malfunctions of devices

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Palliativbesprechungen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM18

Discharge management

Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Regelmäßige Risikoaudits durch einen externen Berater

No. Explanation
IF01

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

As of: 16.02.2023

IF02

Internal evaluation of the received reports

taken jährlich

IF03

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken halbjährlich

Conference committee

Conference frequency: quartalsweise

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)