Dealing with risks in patient care

Quality management

Manfred Schneidewind

Qualitätsmanagementbeauftragter

Wollweberstraße 21
17109 Demmin

Phone: 03998 -438-1907
Mail: ed.nimmeD-HKK@dniwedienhcS.derfnaM

Geschäftsführer, ärztlicher Direktor, Pflegedienstleitung, Qualitätsmanagementbeauftragter

Conference frequency: quartalsweise

Risk management

Manfred Schneidewind

Qualitätsmanagementbeauftragter

Wollweberstraße 21
17102 Demmin

Phone: 03998 -438-1907
Mail: ed.nimmeD-HKK@dniwedienhcS.derfnaM

Geschäftsführer, ärztlicher Direktor, Pflegedienstleitung, Qualitätsmanagementbeauftragter

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

CIRS Fehlermeldungen (01.01.2018)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

ChA Dr. med. Hinz (14.07.2021)

RM06

Fall prophylaxis

PDL Bloy (01.01.2014)

RM07

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

PDL Bloy (14.07.2015)

RM08

Regulated handling of custodial measures

PDL Bloy (01.01.2014)

RM09

Regulated handling of occurring malfunctions of devices

Ausfallmanagement (26.10.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

ChA Dr. med. Hinz (11.05.2020)

RM17

Standards for recovery and postoperative care

ChA Dr. med. Hinz (12.07.2015)

RM18

Discharge management

Herr M.Schneidewind (01.01.2014)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

CIRS, Vorschlagswesen

No. Explanation
IF01

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

As of: 01.01.2018

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 jährlich

Conference committee

Conference frequency: bei Bedarf

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)