Dealing with risks in patient care

Quality management

Dr. Viola Abermet

Qualitätsmanagementkoordination

Klosterweg 4
34308 Bad Emstal

Phone: 05624 -60-10320
Mail: ed.sotiv@nessehruk.mq

QM AG

Conference frequency: quartalsweise

Risk management

Geschäftsführung, Klinikdirektion, Pflegedirektion

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM05

Pain management

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM06

Fall prophylaxis

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM07

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

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM08

Regulated handling of custodial measures

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Therapiekonferenzen
  • Fallbesprechungen
  • Supervisionen
  • Behandlungsplanung
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

RM18

Discharge management

Qualitätsmanagement-Handbuch und mitgeltende Dokumente (28.01.2019)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Keine

No. Explanation
IF01

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

As of: 05.03.2020

IF02

Internal evaluation of the received reports

taken quartalsweise

Conference committee

Conference frequency: halbjährlich

No. Explanation

Other