Hochwaldkrankenhaus Bad Nauheim

Dealing with risks in patient care

Quality management

Mark Griffin

QMB und PDL

Chaumontplatz 1
61231 Bad Nauheim

Phone: 06032-702-1126
Mail: ed.uarettew-zg@niffirg.kram

Es findet wöchentlich eine Besprechung zum Thema Qualitätsmanagement statt.

Conference frequency: andere Frequenz

Risk management

Risikomanagement und kaufmännisches Controlling

Dennis Günther

Chaumontplatz 1
61231 Bad Nauheim

Phone: 06032-702-1235
Mail: ed.uarettew-zg@rehtneug.sinned

QMB und PDL

Mark Griffin

Chaumontplatz 1
61231 Bad Nauheim

Phone: 06032-702-1126
Mail: ed.uarettew-zg@niffirg.kram

berufsgruppenübergreifend

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Risikomanagement Handbuch, Qualitätsmanagementhandbuch und Leitfaden zur Krisenkommuniktion (13.08.2019)

RM02

Regular further education and training measures

RM04

Clinical emergency management

VA Notfallmanagement (19.09.2019)

RM05

Pain management

QMV Expertenstandard akuter Schmerz (18.06.2018)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe (28.05.2018)

RM07

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

QMV Expertenstandard Dekubitusprophylaxe (22.05.2018)

RM08

Regulated handling of custodial measures

QMV Fixierungsrichtlinien (30.11.2018)

RM09

Regulated handling of occurring malfunctions of devices

Risikomanagement Handbuch (13.08.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
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

QMC OP-Checkliste (10.10.2018)

RM15

Preoperative, complete presentation of necessary findings

OP-Checkliste (10.10.2018)

RM16

Procedure to avoid procedural and patient mix-ups

QMV Team Time Out, Patientenidentifikationsarmband (03.07.2018)

RM18

Discharge management

Expertenstandard Entlassungsmanagement (17.08.2018)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Eingehende Risikomeldungen werden in den Leitungsgremien besprochen und die Risikomeldung des Monats im Intranet veröffentlicht.


No. Explanation
IF01

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

As of: 13.08.2019

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 jährlich

Conference committee

Conference frequency: