Dealing with risks in patient care

Quality management

Matthäus Trzensimiech

Qualitätsmanagementbeauftragter

Goslarsche Landstraße 60
31135 Hildesheim

Phone: 05121 -103-7370
Mail: ed.soema.miehsedlih@hceimisnezrT.sueahttaM

Matthäus Trzensimiech

Qualitätsmanagementbeauftragter

Goslarsche Landstraße 60
31135 Hildesheim

Phone: 05121 -103-7370
Mail: ed.soema.miehsedlih@hceimisnezrT.sueahttaM

Qualitätsmanagement, Krankenhausdirektion, Ärztliche Direktion, Pflegedirektion, Betriebsrat

Conference frequency: monatlich

Risk management

Goslarsche Landstraße 60
31135 Hildesheim

Phone: --

Qualitätsmanagement, Krankenhausdirektion, Ärztliche Direktion, Pflegedirektion, Betriebsrat

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Risikorichtlinie (01.03.2016)

RM02

Regular further education and training measures

RM03

Employee surveys

RM06

Fall prophylaxis

Risikorichtlinie (01.03.2016)

RM07

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

Risikorichtlinie (01.03.2016)

RM08

Regulated handling of custodial measures

Risikorichtlinie (01.03.2016)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM18

Discharge management

Risikorichtlinie (01.03.2016)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Regelmäßige Information der Krankenhausleitung über die aktuelle COVID-19-Situation mittels Veröffentlichung von Newslettern.

No. Explanation
IF01

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

As of: 01.08.2022

IF02

Internal evaluation of the received reports

taken quartalsweise

Conference committee

Conference frequency: monatlich

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)