Hephata-Klinik
Dealing with risks in patient care
Quality management
QMB, Klinikleitung, Verantwortliche des Qualitätsmanagements in den Abteilungen
Conference frequency: quartalsweise
Risk management
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: