St. Josefs Krankenhaus Balserische Stiftung

Regular further education and training measures

Clinical emergency management

Verfahrensanweisung Herzalarm (22.11.2023)

Pain management

SOP Schmerzmanagement in der Pflege (04.01.2023)

Fall prophylaxis

SOP Sturzprophylaxe in der Pflege (04.01.2023)

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

Nationaler Expertenstandard Dekubitus (20.04.2021)

Regulated handling of custodial measures

Freiheitsbeschränkende Maßnahmen (22.10.2019)

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medicalpart® (19.01.2022)

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

• Tumorkonferenzen
• Mortalitäts- und Morbiditätskonferenzen
• Pathologiebesprechungen

Use of standardised information sheets

Application of standardised surgical check lists

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

Präoperative Risikostratifizierung (26.11.2024)

Preoperative, complete presentation of necessary findings

Präoperative Untersuchungen (01.04.2025)

Procedure to avoid procedural and patient mix-ups

Surgical Safety Checklist (16.01.2024)

Standards for recovery and postoperative care

VA Übernahme aus dem Aufwachraum postoperativ (15.08.2023)

Discharge management

Checkliste Entlassung 2017-07-13, SOP Entlassungsmanagement in der Pflege (18.10.2024)

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

As of: 06.06.2023

Internal evaluation of the received reports

taken quartalsweise

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken bei Bedarf