SHG-Kliniken Sonnenberg
Dealing with risks in patient care
Quality management
Julia Zapf
Qualtiätsmanagerin
Sonnenbergstr. 10
66119 Saarbrücken
Phone: 0681-889-2252
Mail: ed.nekinilk-ghs.bs@lfpaz.j
Dipl.-Pflegew. (FH) Heike Spiegel
Qualitätsmanagerin
Sonnenbergstr. 10
66119 Saarbrücken
Phone: 0681-889-1643
Mail: ed.nekinilk-ghs.bs@legeips.h
Steuerkreissitzung, Teilnehmer: Verwaltungsdirektor, stellv. Verwaltungsdirektorin, Ärztlicher Direktor, stellv. Ärztliche Direktorin, Pflegedirektorin, Pflegedirektor, Qualitätsmanagement, Betriebsrat
Conference frequency: quartalsweise
Risk management
Qualitätsmanagerin
Heike Spiegel
66119 Saarbrücken
Phone: 0681-889-1643
Fax: 0681-889-2105
Mail: ed.nekinilk-ghs.bs@legeips.h
Steuerkreissitzung, Teilnehmer: Verwaltungsdirektor, stellv. Verwaltungsdirektorin, Ärztlicher Direktor, stellv. Ärztliche Direktorin, Pflegedirektorin, Pflegedirektor, Qualitätsmanagement, Betriebsrat
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
| RM05 |
Pain management Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
| RM06 |
Fall prophylaxis Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
| RM08 |
Regulated handling of custodial measures Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM18 |
Discharge management Dokumentenlenkungssoftware "nexus curator" der Fa. nexus AG (19.07.2022) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Regelmäßige Risikoaudits durch einen externen Berater
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 03.12.2020 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken halbjährlich |
Conference committee
Conference frequency: quartalsweise
| 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) |