Dealing with risks in patient care

Quality management

Anna-Lena Borken

Qualitätsmanagement

Mühlenstraße 17
49751 Sögel

Phone: 05952 -209-2618
Mail: ed.legeos-latipsoh@nekrob.anel-anna

Anna-Lena Borken

Qualitätsmanagement

Mühlenstraße 17
49751 Sögel

Phone: 05952 -209-2618
Mail: ed.legeos-latipsoh@nekrob.anel-anna

Wöchentlicher Jour Fixe mit dem stellv. Geschäftsführer und QMB

Conference frequency: wöchentlich

Risk management

Anna-Lena Borken

Qualitätsmanagement


49746 Sögel

Phone: 05952 -209-2618
Fax: 05952-209-2299
Mail: ed.legeos-latipsoh@nekrob.anel-anna

Anna-Lena Borken

Qualitätsmanagement


49746 Sögel

Phone: 05952 -209-2618
Fax: 05952-209-2299
Mail: ed.legeos-latipsoh@nekrob.anel-anna

Conference frequency:

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Basic Life Support (BLS) (30.06.2021)

RM05

Pain management

Ablaufbeschreibung Schmerzmanagement (02.02.2022)

RM06

Fall prophylaxis

Ablaufbeschreibung Sturzprophylaxe (16.06.2021)

RM07

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

Ablaufbeschreibung Dekubitusprophylaxe (16.06.2021)

RM08

Regulated handling of custodial measures

Umgang mit dem Segufix-System (31.07.2019)

RM09

Regulated handling of occurring malfunctions of devices

Meldung von Vorkommnissen (14.09.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Multiprofessionelle Fallkonferenzen/Indikationskonferenzen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Patientenidentifikation durch Patientenarmband, Kennzeichnung Operationsstelle, Perioperative Sicherheitscheckliste (11.03.2019)

RM17

Standards for recovery and postoperative care

Verlegungskriterien Aufwachraum (03.11.2020)

RM18

Discharge management

Konzept Entlassungsmanagement (11.04.2018)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

M+M Konferenzen, Fallkonferenzen, Umsetzung Maßnahmenplanung, Erstellung Risikoatlas, Risikoanalysen, Risikoaudits

No. Explanation
IF01

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

As of: 19.01.2023

IF02

Internal evaluation of the received reports

taken monatlich

Conference committee

Conference frequency: monatlich

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)