Claudia Maisel
Leiterin Qualitätsmanagement
                    Hohe Warte 8
                    95445 Bayreuth
                
             Phone:
            0921
                -400-2040
                            
                 Mail:
                ed.htueryab-mukinilk@lesiam.aidualc
                    
multiprofessionell
Conference frequency: andere Frequenz
Claudia Maisel
Leiterin Qualitätsmanagement
                     
                    95445 Bayreuth
                
             Phone:
            0921
                -400-2040
                            
                 Fax: 0921-400-882040
            
                            
                 Mail:
                ed.htueryab-mukinilk@lesiam.aidualc
                    
multiprofessionell
Conference frequency: andere Frequenz
| No. | Explanation | 
|---|---|
| RM01 | Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (16.10.2024) | 
| RM02 | Regular further education and training measures | 
| RM04 | Clinical emergency management QM-Handbuch (16.10.2024) | 
| RM05 | Pain management QM-Handbuch (16.10.2024) | 
| RM06 | Fall prophylaxis QM-Handbuch (16.10.2024) | 
| RM07 | Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (16.10.2024) | 
| RM08 | Regulated handling of custodial measures QM-Handbuch (16.10.2024) | 
| RM09 | Regulated handling of occurring malfunctions of devices QM-Handbuch (16.10.2024) | 
| RM10 | Structured implementation of interdisciplinary case discussions/conferences Case review conference 
 | 
| 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 QM-Handbuch (16.10.2024) | 
| RM15 | Preoperative, complete presentation of necessary findings QM-Handbuch (16.10.2024) | 
| RM16 | Procedure to avoid procedural and patient mix-ups QM-Handbuch (16.10.2024) | 
| RM17 | Standards for recovery and postoperative care QM-Handbuch (16.10.2024) | 
| RM18 | Discharge management QM-Handbuch (16.10.2024) | 
Conference frequency: quartalsweise
ja
| No. | Explanation | 
|---|---|
| IF01 | Documentation and procedural instructions for handling the error reporting system are available As of: 16.10.2024 | 
| IF02 | Internal evaluation of the received reports taken bei Bedarf | 
| IF03 | Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf | 
Conference frequency: andere Frequenz
| No. | Explanation | 
|---|---|
| EF03 | KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |