Hephata-Klinik

Dealing with risks in patient care

Quality management

Qualitätsmanagerin

Veronika Brening

Phone: 06691-18-2074
Mail: ed.atahpeh@gninerb.akinorev

QMB, Klinikleitung, Verantwortliche des Qualitätsmanagements in den Abteilungen

Conference frequency: quartalsweise

Risk management

Qualitätsmanagerin

Veronika Brening

Phone: 06691-18-2074
Mail: ed.atahpeh@gninerb.akinorev

QMB, Klinikleitung, Verantwortliche des Qualitätsmanagements aus den Abteilungen, Patientensicherheitsbeuaftragter

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

VA Internes Schwachstellenmanagement (15.12.2020)

RM02

Regular further education and training measures

RM04

Clinical emergency management

In Überarbeitung: Krankenhauseinsatzplan (02.11.2021)

RM05

Pain management

In Erstellung: Standard Schmerzmanagement (02.11.2021)

RM06

Fall prophylaxis

In Erstellung: Standard Sturzprophylaxe (02.11.2021)

RM07

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

Standard Dekubitusprophylaxe (18.12.2020)

RM08

Regulated handling of custodial measures

Behandlungsleitlinie psychische und Verhaltensstörungen bei Erwachsenen (vollstationär) (26.10.2020)

RM09

Regulated handling of occurring malfunctions of devices

VA Internes Schwachstellenmanagement (15.12.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

RM12

Use of standardised information sheets

RM18

Discharge management

VA Entlassmanagement (20.10.2020)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Einzusehen in den jeweiligen Protokollen und im Maßnahmenplan


No. Explanation
IF02

Internal evaluation of the received reports

taken bei Bedarf

Conference committee

Conference frequency:


No. Explanation