Dealing with risks in patient care
Quality management
Frau Elke Matthes
Standortverantwortliche Qualitätsmanagerin
Schöne Aussicht 39
98724 Neuhaus/Rwg.
Phone:
03675
-821-421
Mail:
ed.nekinilk-demoiger@sehttaM.eklE
Krankenhausleitung Leitender Chefarzt Pflegedirektion QS-Verantwortlicher Qualitätsmanagement Betriebsrat
Conference frequency: quartalsweise
Risk management
Andreas Flemming
Risikomanager
Phone:
09561
-9733-2216
Fax: 09561-9733-2221
Mail:
ed.nekinilk-demoiger@gnimmelF.saerdnA
Krankenhausleitung Leitender Chefarzt Pflegedirektion QS-Verantwortlicher Qualitätsmanagement Betriebsrat
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualido (31.12.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Qualido (31.12.2022) |
| RM05 |
Pain management Qualido (31.12.2022) |
| RM06 |
Fall prophylaxis Qualido (31.12.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualido (31.12.2022) |
| RM08 |
Regulated handling of custodial measures Qualido (31.12.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualido (31.12.2022) |
| 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 Qualido (31.12.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualido (31.12.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualido (31.12.2022) |
| RM17 |
Standards for recovery and postoperative care Qualido (31.12.2022) |
| RM18 |
Discharge management Qualido (31.12.2022) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Optimierung OP-Checkliste Sichere Identifizierung der Patienten durch Patienten-ID-Bänder Flyer des AKP "Sicher im Krankenhaus" Überarbeitung Dekubitus-Prophylaxe-Management Verschiedene Infoblätter zum Verhalten bei Noroviren, MRSA, VRE, Clostridien, Gastroenteritis, Krätze
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: quartalsweise
| No. | Explanation |
|---|---|
|
Other |