Frau Jenny Sens
Qualitätsmanagement
                    Mühlenkamp 5
                    23758 Oldenburg i.H.
                
             Phone:
            04521
                -787-1340
                            
                 Mail:
                ed.soema@snes.ynnej
                    
Geschäftsführung, kaufm. Direktor, Pflegedirektorium, Qualitätsmanagement
Conference frequency: quartalsweise
Jenny Sens
Qualitätsmanagement
                    Mühlenkamp 5
                    23758 Oldenburg i.H.
                
             Phone:
            04521
                -787-1340
            
                            
                 Mail:
                ed.soema@snes.ynnej
                    
Geschäftsführung, kaufm. Direktor, Pflegedirektorium, Qualitätsmanagement, ÄD
Conference frequency: monatlich
| No. | Explanation | 
|---|---|
| RM01 | 
														 Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (01.11.2023)  | 
												
| RM02 | 
														 Regular further education and training measures  | 
												
| RM03 | 
														 Employee surveys  | 
												
| RM04 | 
														 Clinical emergency management QM-Handbuch (01.11.2023)  | 
												
| RM05 | 
														 Pain management QM-Handbuch (01.11.2023)  | 
												
| RM06 | 
														 Fall prophylaxis QM-Handbuch (01.11.2023)  | 
												
| RM07 | 
														 Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (01.11.2023)  | 
												
| RM08 | 
														 Regulated handling of custodial measures QM-Handbuch (01.11.2023)  | 
												
| RM09 | 
														 Regulated handling of occurring malfunctions of devices QM-Handbuch (01.11.2023)  | 
												
| RM10 | 
														 Structured implementation of interdisciplinary case discussions/conferences Case review conference 
  | 
												
| RM12 | 
														 Use of standardised information sheets  | 
												
| RM13 | 
														 Application of standardised surgical check lists  | 
												
| RM14 | 
														 Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss QM-Handbuch (01.11.2023)  | 
												
| RM15 | 
														 Preoperative, complete presentation of necessary findings QM-Handbuch (01.11.2023)  | 
												
| RM16 | 
														 Procedure to avoid procedural and patient mix-ups QM-Handbuch (01.11.2023)  | 
												
| RM17 | 
														 Standards for recovery and postoperative care QM-Handbuch (01.11.2023)  | 
												
| RM18 | 
														 Discharge management QM-Handbuch (01.11.2023)  | 
												
Conference frequency: quartalsweise
entsprechend den Meldungen
| No. | Explanation | 
|---|---|
| IF01 | 
														 Documentation and procedural instructions for handling the error reporting system are available As of: 27.04.2023  | 
												
| IF02 | 
														 Internal evaluation of the received reports taken quartalsweise  | 
												
Conference frequency: