Dealing with risks in patient care

Quality management

Albrecht Trenker

Qualitätsmanagementkoordinator

Cappeler Straße 98
35039 Marburg

Phone: 06421 -404300-
Mail: ed.grubram-nesseig-sotiv@reknert.thcerbla

regelmäßiger Jour Fixe mit der Geschäftsführung

Conference frequency: monatlich

Risk management

Albrecht Trenker

Qualitätsmanagementkoordinator/Risikomanagement

Phone: 06421 -404300-
Mail: ed.grubram-nesseig-sotiv@reknert.thcerblA

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

Überwachungsaudit nach DIN ISO 9001:2015 in 09/2022 (20.09.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

VA Notfallmanagement (03.03.2021)

RM06

Fall prophylaxis

Expertenstandard Sturz (03.03.2021)

RM07

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

Expertenstandard Dekubitus (03.03.2021)

RM08

Regulated handling of custodial measures

VA Umgang mit freiheitsentziehenden Maßnahmen / Fixierungsrichtlinien (21.02.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Behandlungsplanung
RM18

Discharge management

VA Entlassmanagement (10.11.2021)

Fault reporting systems

Conference committee

Conference frequency:

Measures

Durch die Verfahrensanweisungen Besondere Vorkommnisse und Notfallmanagement wurden Maßnahmen zur Patientensicherheit abgeleitet.

No. Explanation
IF01

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

As of: 08.11.2021

IF02

Internal evaluation of the received reports

taken quartalsweise

IF03

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken bei Bedarf

Conference committee

Conference frequency: quartalsweise

No. Explanation
EF14

CIRS Health Care