Hospital zum Heiligen Geist gGmbH
Dealing with risks in patient care
Quality management
Sieglinde Reis
Qualitäts-, Risiko- und Beschwerdemanagerin, Datenschutzbeauftragte
Am Hospital 6
34560 Fritzlar
Phone: 05622-997-344
Mail: ed.ralztirf-latipsoh@sier.ednilgeis
Geschäftsführung, QM-Kernteam
Conference frequency: bei Bedarf
Risk management
Qualitäts-, Risiko- und Beschwerdemanagerin, Datenschutzbeauftragte
Sieglinde Reis
Am Hospital 6
34560 Fritzlar
Phone: 05622-997-344
Fax: 05622-997-401
Mail: ed.ralztirf-latipsoh@sier.ednilgeis
Geschäftsführung, QM-Kernteam
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available externer Bericht (22.03.2016) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management externer Bericht (22.03.2016) |
| RM05 |
Pain management externer Bericht (22.03.2016) |
| RM06 |
Fall prophylaxis externer Bericht (22.03.2016) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) externer Bericht (22.03.2016) |
| RM08 |
Regulated handling of custodial measures externer Bericht (22.03.2016) |
| RM09 |
Regulated handling of occurring malfunctions of devices externer Bericht (22.03.2016) |
| 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 externer Bericht (22.03.2016) |
| RM15 |
Preoperative, complete presentation of necessary findings externer Bericht (22.03.2016) |
| RM16 |
Procedure to avoid procedural and patient mix-ups externer Bericht (22.03.2016) |
| RM17 |
Standards for recovery and postoperative care externer Bericht (22.03.2016) |
| RM18 |
Discharge management externer Bericht (22.03.2016) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Individuelle Maßnahmen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 20.09.2012 |
| 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 committee
Conference frequency: