Klinikum Bad Hersfeld - Klinik am Hainberg

Dealing with risks in patient care

Quality management

Emily Schafft

Leitung Qualitätsmanagement

Ludwig-Braun-Str. 32
36251 Bad Hersfeld

Phone: 06621-88-922735
Mail: ed.feh-mukinilk@tffahcs.ylime

PDL, Leitung Intensivstation, Leitung Zentrallabor und Klinikhygiene, Qualitätsmanagement, Risikomanagement

Conference frequency: quartalsweise

Risk management

Leitung Qualitätsmanagement

Emily Schafft

Phone: 06621-88-922735
Mail: ed.feh-mukinilk@tffahcs.ylime

AG Risikomanagement: Leitung Qualitätsmanagement/Risikomanagement, weitere Personen nach Themenschwerpunkt.

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Risikobericht 2019 (31.12.2019)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Risikobericht 2019 (31.12.2019)

RM05

Pain management

Regelung Klinisches Schmerzmanagement (30.04.2019)

RM06

Fall prophylaxis

Sturzprotokoll (29.04.2020)

RM07

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

Wundmanagement (24.10.2016)

RM08

Regulated handling of custodial measures

Leitlinie für den Umgang mit Zwangsmaßnahmen, Dienstanweisung Fixierung (30.07.2019)

RM09

Regulated handling of occurring malfunctions of devices

Umsetzung des MPG und der MPBetreibV (30.07.2018)

RM18

Discharge management

Risikobericht 2019 (31.12.2019)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Anwendung des 4-Augen-Prinzips bei Medikamentenstellung.


No. Explanation
IF01

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

As of: 21.07.2022

IF02

Internal evaluation of the received reports

taken monatlich

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: