Dealing with risks in patient care

Quality management

Ellena Pasch

Qualitätsmanagementbeauftragter (QMB)

Katharina-Kasper-Str. 6
52538 Gangelt

Phone: 02454 -59-738
Mail: ed.sibonaiv@hcsap.e

Medizin, Pflege, kaufmännischer Bereich, Ordensvertretung/Seelsorge, Qualitätsmanagement

Conference frequency: monatlich

Risk management

Ellena Pasch

Qualitätsmanagementbeauftragter (QMB)

Phone: 02454 -59-738
Mail: ed.sibonaiv@hcsap.e

Medizin, Pflege, kaufmännischer Bereich, Ordensvertretung/Seelsorge, Qualitätsmanagement

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

VA Risiko- und Fehlermanagement (03.09.2020)

RM02

Regular further education and training measures

RM04

Clinical emergency management

VA Risiko- und Fehlermanagement (03.09.2020)

RM06

Fall prophylaxis

VA Risiko- und Fehlermanagement (03.09.2020)

RM07

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

VA Risiko- und Fehlermanagement (03.09.2020)

RM08

Regulated handling of custodial measures

VA Risiko- und Fehlermanagement (03.09.2020)

RM09

Regulated handling of occurring malfunctions of devices

VA Risiko- und Fehlermanagement (03.09.2020)

RM12

Use of standardised information sheets

RM18

Discharge management

VA Entlassung (24.10.2018)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Maßnahmen zur Arzneimittelsicherheit: regelhafte Kurvenvisiten durch Apothekerin, Beratung bei unerwünschten Arzneimittelwirkungen, turnusmäßige Fortbildungen zum Thema Arzneimittelsicherheit

No. Explanation
IF01

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

As of: 03.09.2020

IF02

Internal evaluation of the received reports

taken jährlich

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: