Dealing with risks in patient care
Quality management
Johannes Bönsch
QMB
Wöllershof 1
92721 Störnstein
Phone:
09602
-78-0
Mail:
ed.obdem@hcsneob.sennahoj
Ärztlicher Dienst, Pflegedienst, Verwaltung
Conference frequency: wöchentlich
Risk management
Bettina Hübner-Liebermann
Stabstelle RM
Wöllershof 1
92721 Störnstein
Phone:
0941
-941-0
Mail:
ed.obdem@ofni
Ärztlicher Dienst, Pflegedienst, Verwaltung
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
| RM05 |
Pain management QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
| RM06 |
Fall prophylaxis QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
| RM08 |
Regulated handling of custodial measures QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management QM-Handbuch, nach DIN EN ISO 9001:2015 (01.03.2018) |
Fault reporting systems
Conference committee
Conference frequency: wöchentlich
Measures
Notfall-Handys bei Stromausfall, Externe Ergotherapie mit Notfallrucksack (bezüglich Medikamente), Optionale Videoüberwachung der Krisenzimmer (nach Anordnung Arzt)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 10.04.2019 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| 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) |