HELIOS Hanseklinikum Stralsund

Dealing with risks in patient care

Quality management

Qualitätsmanagerin

Anja Haack

Phone: 03831-35-2006
Fax: 03831-35-2005
Mail: ed.tiehdnuseg-soileh@kcaaH.ajnA

Conference frequency:

Risk management

Pflegedirektorin

Carena Schwark

Phone: 03831-45-3036
Fax: 03831-45-3084
Mail: ed.tiehdnuseg-soileh@krawhcs.anerac

pflegerische und ärztliche Vertreter, Betriebsrat, Qualitätsmanagement, Beschwerdemanagement

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM05

Pain management

RM06

Fall prophylaxis

Beschluss der FG Pflege Sturzprophylaxe (09.05.2018)

RM07

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

Beschluss der FG Pflege  Dekubitusprophylaxe (01.02.2017)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
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

Konzernregelung zum verbindlichen Einsatz der Checklisten PRÄ und PERI (23.01.2020)

RM15

Preoperative, complete presentation of necessary findings

Konzernregelung zum verbindlichen Einsatz der Checklisten PRÄ und PERI (23.01.2020)

RM16

Procedure to avoid procedural and patient mix-ups

Konzernregelung zum verbindlichen Einsatz der Checklisten PRÄ und PERI (23.01.2020)

RM17

Standards for recovery and postoperative care

NEWS vor Verlegung / Wissensziel 2019 (02.03.2017)

RM18

Discharge management

Entlassungsmanagement (19.11.2018)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

divers


No. Explanation
IF01

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

As of: 09.11.2016

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
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)