Dealing with risks in patient care

Quality management

Dipl. Sozialwirtin Nicole Hölscher

Qualitätsmanagement/ Risikomanagement

Am Dreifaltigkeitskloster 16
47807 Krefeld

Phone: 02151 -823-39204
Mail: ed.ssuen-ka@rehcsleoh.n

Geschäftsführung, Verwaltungsleitung, Ärztliche Leitung, Pflegedienstleitung, Qualitätsmanagement/ Risikomanagement

Conference frequency: andere Frequenz

Risk management

Nicole Hölscher

Qualitätsmanagement/ Risikomanagement

Phone: 02151 -823-39204
Fax: 02151-823-39991
Mail: ed.ssuen-ka@rehcsleoh.n

Geschäftsführung, Verwaltungsleitung, Ärztliche Leitung, Pflegedienstleitung, Qualitätsmanagement/ Risikomanagement

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

RM05

Pain management

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

RM06

Fall prophylaxis

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

RM07

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

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

RM08

Regulated handling of custodial measures

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Fallbesprechungen
  • Fallsupervisionen
  • Balintgruppen
RM12

Use of standardised information sheets

RM18

Discharge management

Qualitätsmanagementhandbuch Klinik Königshof (31.12.2021)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

Überarbeitung von Anweisungen/ Vorgaben, Änderung der Umgebung

No. Explanation
IF01

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

As of: 31.12.2021

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: andere Frequenz

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea