Dealing with risks in patient care
Quality management
Dr. med. Hardy Wegner
Oberarzt Chirurgie
Penzliner Straße 56
17235 Neustrelitz
Phone:
03981
-268-306
Mail:
ed.tsmkrd@rengew.h
Im Kernteam des Qualitätsmanagements arbeiten Ärzte, die Pflegedienstleiterin und Mitarbeiter der Verwaltung zusammen. Jährlich finden in regelmäßigen Abständen Qualitätskonferenzen statt, an denen Qualitätsbeauftragte aller Abteilungen teilnehmen.
Conference frequency: andere Frequenz
Risk management
Hardy Wegner
Oberarzt Chirurgie
Penzliner Straße 56
17235 Neustrelitz
Phone:
03981
-268-306
Fax: 03981-268-399
Mail:
ed.tsmkrd@rengew.h
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätshandbuch (25.10.2019) |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Dienstanweisung 34 (20.07.2023) |
| RM05 |
Pain management Verfahrensanweisung 37 (07.07.2022) |
| RM06 |
Fall prophylaxis Verfahrensanweisung 56 (23.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegeleitlinie A-06 (17.05.2021) |
| RM08 |
Regulated handling of custodial measures Dienstanweisung 36 (25.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung 42 (12.07.2023) |
| 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 OP-Checkliste (01.01.2015) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP Checkliste (01.01.2015) |
| RM17 |
Standards for recovery and postoperative care Pflegeleitlinie Aufwachraum Patientenbetreuung (01.08.2022) |
| RM18 |
Discharge management Verfahrensanweisung 101 (19.04.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Erfassung von Beinahezwischenfällen mit Ableitung von Maßnahmen Informationsdienst der Krankenhausgesellschaft MV „CIRS-Fall des Monats“ steht im Intranet zur Verfügung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 24.10.2023 |
| 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 halbjährlich |
Conference committee
Conference frequency: