Dealing with risks in patient care

Quality management

Frau Rahel Davidsmeyer

Verantwortliche QM

Moorhauser Landstraße 3c
28865 Lilienthal

Phone: 04298 -271-0
Mail: ed.demetra@reyemsdivaD.lehaR

Frau Rahel Davidsmeyer

Verantwortliche QM

Moorhauser Landstraße 3c
28865 Lilienthal

Phone: 04298 -271-0
Mail: ed.demetra@reyemsdivaD.lehaR

Endoprothetikzentrum QM Sitzung

Conference frequency: monatlich

Risk management

Gita Gerkyte

Leitung Dienstleistungsbereiche

Moorhauser Landstraße 3c
28865 Lilienthal

Phone: 04298 -271-0
Fax: 04298-271-399
Mail: ed.lahtneilil-kinilk@etykreg.g

Endoprothetikzentrum Risikomanagementsitzung (CIRS)

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Fr. Gerkyte (31.12.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Dr. Jansen (31.12.2021)

RM05

Pain management

Dr. Jansen (31.12.2021)

RM06

Fall prophylaxis

Dr. Regenbrecht (31.12.2021)

RM07

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

Fr. Gerkyte (31.12.2021)

RM09

Regulated handling of occurring malfunctions of devices

Hr. Ropella (31.12.2021)

RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM14

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

Dr. Regenbrecht (31.12.2021)

RM16

Procedure to avoid procedural and patient mix-ups

Hr. Krenke (31.12.2021)

RM17

Standards for recovery and postoperative care

Dr. Henning Jansen (31.12.2021)

RM18

Discharge management

Fr. Nolte-Götz (31.12.2021)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

in Chefarztkonferenz

No. Explanation
IF02

Internal evaluation of the received reports

taken monatlich

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)