Jürgen Holub
Qualitätskoordinator
Kösinger Straße 11
73450 Neresheim
Phone:
07326
-9608-0
Mail:
ed.hrs@buloh.negreuj
Krankenhausleitungskonferenz: Geschäftsführung, Ärztlicher Direktorin, Chefarzt, Verwaltungsleitung, Pflegedienstleitung, QM-Koordinator.
Conference frequency: monatlich
Jürgen Holub
Qualitätskoordinator
Phone:
07326
-9608-0
Fax: 07326-9608-115
Mail:
ed.hrs@buloh.negreuj
Krankenhausleitungskonferenz: Geschäftsführung, Ärztlicher Direktorin, Chefarzt, Verwaltungsleitung, Pflegedienstleitung, QM-Koordinator.
Conference frequency: monatlich
No. | Explanation |
---|---|
RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Prozessmodell FKNe (17.04.2024) |
RM02 |
Regular further education and training measures |
RM03 |
Employee surveys |
RM04 |
Clinical emergency management Prozessmodell FKNe (17.04.2024) |
RM05 |
Pain management Klinikkonzept SRH Fachkrankenhaus Neresheim (04.04.2019) |
RM06 |
Fall prophylaxis Prozessmodell FKNe (17.04.2024) |
RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Prozessmodell FKNe (17.04.2024) |
RM08 |
Regulated handling of custodial measures Prozessmodell FKNe (17.04.2024) |
RM09 |
Regulated handling of occurring malfunctions of devices Prozessmodell FKNe (17.04.2024) |
RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
RM12 |
Use of standardised information sheets |
RM13 |
Application of standardised surgical check lists |
RM16 |
Procedure to avoid procedural and patient mix-ups Prozessmodell FKNe (17.04.2024) |
RM18 |
Discharge management Prozessmodell FKNe (17.04.2024) |
Conference frequency: monatlich
Wöchentliche Überprüfung der Herzalarmanlage auf den Stationen. Jährliche Auswertung der Sturzrate und Art des Sturzes durch den Arzt. Einsatz von sog. Klingelmatten bei bestimmten Patientenklientel.
No. | Explanation |
---|---|
IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.03.2023 |
IF02 |
Internal evaluation of the received reports taken monatlich |
IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken jährlich |
Conference frequency: monatlich
No. | Explanation |
---|---|
EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |