Dealing with risks in patient care
Quality management
Kerstin Schröder
Qualitätsmanagementbeauftragte
Johannes-Ritter-Straße 100
21502 Geesthacht
Phone:
04152
-918-128
Mail:
ed.tiehdnuseg-demav@redeorhcs.nitsrek
Leitung Therapie, Pflegedirektorin, QMBs
Conference frequency: monatlich
Risk management
Kerstin Schröder
Risikomanagement
Phone:
04152
-918-128
Fax: 04152-918-239
Mail:
ed.tiehdnuseg-demav@redeorhcs.nitsrek
Leitung Therapie, Pflegedirektorin, QMBs
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management 0.2.0. Dienstanweisung Notfallstab, 0.1.3.MA-Einweisung_Notfallmanagement (25.03.2025) |
| RM06 |
Fall prophylaxis PB 0.0.100_Vorgehen _Sturz (07.01.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) PB 0.0.140_Dekubitus_Risikoeinschätzung, Pflege-034_Dekubitus_Risikoeinschätzung (22.09.2025) |
| RM08 |
Regulated handling of custodial measures Konzernrichtlinie freiheitsentziehende Maßnahmen Akutkliniken; Fixierung-Prozessbeschreibung (12.12.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices PB 0.0.65_Gerätedefekt außerhalb der Arbeitszeit, PB 0.0.67_Gerätedefekt während der normalen Arbeitszeit, PB 0.0.68_Korrekturmaßnahmen bei fehlerhaften Produkten und Lieferungen (13.01.2025) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernrichtlinie Patientenidentifikationsarmband, PB 0.0.197_Patientenidentifikationsarmband, Letzte Aktualisierung 09.12.2024, DS-019_Einwilligung in das Tragen eines Patientenidentifikationsarmbandes, Letzte Aktualisierung 16.01.2025 (29.01.2024) |
| RM18 |
Discharge management Entlassmanagement - Prozessbeschreibung (09.09.2025) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Beispiel: Hygienemaßnahmen, Aufnahmemanagement, Brandschutz, Patientenidentifikationsarmband, Gerätemanagement
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.01.2025 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken monatlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |