Dealing with risks in patient care
Quality management
Andrea Schütt
Leitung Qualitätsmanagement
Dr. Albert Steinert Platz 1
39615 Seehausen
Phone:
0391
-60753-391
Mail:
ed.asl-sulas@tteuhcs.a
Krankenhausleitung
Conference frequency: monatlich
Risk management
Cornelia Ulrich
Ärztliche Direktion
Dr. Albert Steinert Platz 1
39615 Seehausen
Phone:
039325
-70-2100
Fax: 039325-70-2102
Mail:
ed.asl-sulas@hcirlu.c
Krankenhausleitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Jahresbericht 2024 zum Qualitätsmanagement der Salus Altmark Holding gGmbH (26.02.2025) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Jahresbericht 2024 zum Qualitätsmanagement der Salus Altmark Holding gGmbH (26.02.2025) |
| RM05 |
Pain management DNQP Expertenstandard Schmerzmanagement in der Pflege (01.06.2020) |
| RM06 |
Fall prophylaxis Interne Verfahrensanweisungen: U ArA 2019/13 Sturzprophylaxe, U VA 2019/14 Verfahrensregel zur Sturzprophylaxe (26.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Interne Verfahrensanweisung: U VA 2018/27 Dekubitusprophylaxe (25.02.2022) |
| RM08 |
Regulated handling of custodial measures Interne Dienstanweisung: U DA 2018/36 Anordnung und Durchführung freiheitsentziehender Maßnahmen (12.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Jahresbericht 2024 zum Qualitätsmanagement der Salus Altmark Holding gGmbH (26.02.2025) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Interne Verfahrensanweisung: U VA 2017/14 Komplexes Entlassmanagement (12.04.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Maßnahmen und Ableitungen im SAMS (internes Meldesystem)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.10.2023 |
| 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: