Dealing with risks in patient care

Quality management

MSc. Guido Deckstein

Qualitätsbeauftragter

Im Kreuzfeld 4
34537 Bad Wildungen

Phone: 05621 -803-434
Mail: ed.kinilk-rekciw-renrew@nietskced

Klinikdirektorium Qualitätsmanagement Vertreter des Betriebsrates

Conference frequency: monatlich

Risk management

Guido Deckstein

Qualitätsbeauftragter

Phone: 05621 -803-434
Mail: ed.kinilk-rekciw-renrew@nietskced

Klinikdirektorium Qualitätsmanagement Vertreter des Betriebsrates

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Klinikhandbuch (22.10.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Klinikhandbuch (22.10.2023)

RM05

Pain management

Klinikhandbuch (22.10.2023)

RM06

Fall prophylaxis

Klinikhandbuch (22.10.2023)

RM07

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

Klinikhandbuch (22.10.2023)

RM08

Regulated handling of custodial measures

Klinikhandbuch (22.10.2023)

RM09

Regulated handling of occurring malfunctions of devices

Technischer Dienst / Medizintechnik (23.02.2023)

RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM15

Preoperative, complete presentation of necessary findings

Klinikhandbuch (22.10.2023)

RM16

Procedure to avoid procedural and patient mix-ups

Klinikhandbuch (22.10.2023)

RM18

Discharge management

Klinikhandbuch (22.10.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

dies ist in Form eines anonymen Meldesystems für "Beinahe-Fehler" (CIRS), sowie ein geregeltes Fehler/ Zwischenfall-Meldesystem etabliert

No. Explanation
IF01

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

As of: 06.05.2022

IF02

Internal evaluation of the received reports

taken halbjährlich

IF03

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

taken jährlich

Conference committee

Conference frequency: