Dealing with risks in patient care

Quality management

Berndt Poppenga

Qualitätsmanagement

An der Hössen 23
26655 Westerstede

Phone: 0441 -9615-654
Mail: ed.kjk@agneppop.tdnreb

Geschäftsführung, Ärztlicher Direktor, Pflegedirektorin, Teamleiter Personalmanagement, Betriebsratsvorsitzender, Sicherheitsmanager, Qualitätsmanager

Conference frequency: monatlich

Risk management

Berndt Poppenga

Qualitätsmanagement

An der Hössen 23
26655 Westerstede

Phone: 0441 -9615-654
Mail: ed.kjk@agneppop.tdnreb

Geschäftsführung, Ärztlicher Direktor, Pflegedirektorin, Teamleiter Personalmanagement, Betriebsratsvorsitzender, Sicherheitsmanager, Qualitätsmanager

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Risikomanagement_VA (12.10.2023)

RM03

Employee surveys

RM04

Clinical emergency management

Medizinisches Notfallmanagement-VA (08.08.2023)

RM06

Fall prophylaxis

Pflegestandard Struzprophylaxe (22.09.2023)

RM07

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

Pflegestandard_Dekubitusprophylaxe (15.09.2023)

RM08

Regulated handling of custodial measures

Verfahrensanweisung Freiheitsentziehende Maßnahmen (03.01.2023)

RM12

Use of standardised information sheets

RM18

Discharge management

Entlassmanagement SGB V (29.09.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Kennzahlenbasiertes QM-Reporting, Deeskalationsschulungen, Sicherheitsdienst im Gelände, Personennotrufanlage, Qualitätszirkel-Sicherheit

No. Explanation
IF01

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

As of: 05.09.2022

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)