Kreiskrankenhaus des Vogelsbergkreises in Alsfeld GmbH
Dealing with risks in patient care
Quality management
Saskia Heister
Qualitätsmanagement
Schwabenröder Straße 81
36304 Alsfeld
Phone: 06631-981391-
Mail: ed.dlefsla-hkk@retsieh.s
Swenja Roth
Qualitätsmanagement
Schwabenröder Straße 81
36304 Alsfeld
Phone: 06631-987391-
Mail: ed.dlefsla-hkk@htor.s
QM-Lenkungsteam: Geschäftsleitung, Betriebsrat, Qualitätsmanagement, Ärzte, Pflege, Hygiene, Funktionsdienste und Arbeitssicherheit
Conference frequency: monatlich
Risk management
QM-Lenkungsteam: Geschäftsleitung, Betriebsrat, Qualitätsmanagement, Ärzte, Pflege, Hygiene, Funktionsdienste und Arbeitssicherheit
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (07.04.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM-Handbuch (07.04.2022) |
| RM05 |
Pain management QM-Handbuch (07.04.2022) |
| RM06 |
Fall prophylaxis QM-Handbuch (07.04.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (07.04.2022) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch (07.04.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch Medicalpart-externer Dienstleister (01.11.2018) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (07.04.2022) |
| RM17 |
Standards for recovery and postoperative care Aufnahme, Überwachung und Entlassung aus dem AWR (10.06.2022) |
| RM18 |
Discharge management QM-Handbuch (07.04.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einführung der übergreifenden Patientenakte, SOP Akuttherapie Sepsis inkl. Checkliste
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.08.2022 |
| 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: