Dealing with risks in patient care
Quality management
Petra Spengler
Qualitätsmanagement- und Beschwerdebeauftragte
Deelbögenkamp 4
22297 Hamburg
Phone:
040
-8191-2903
Mail:
moc.soipelka@relgneps.p
Geschäftsführung, Pflegedirektion, Ärztliche Direktoren, Personalleitung
Conference frequency: monatlich
Risk management
Petra Spengler
Qualitätsmanagement- und Beschwerdebeauftragte
Ulmenstraße 29a
22299 Hamburg
Phone:
040
-8191-2903
Fax: 040-8191-2001
Mail:
moc.soipelka@relgneps.p
Geschäftsführung, Pflegedirektion, Ärztliche Direktoren, Personalleitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Maßnahmenplan (01.11.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA Notfallmanagement (20.03.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (15.05.2019) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM13 |
Application of standardised surgical check lists |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Schulungen Verfahrensanweisungen erstellt Prozesse verändert/ optimiert Veränderungen der Ausstattung vorgenommen Neuanschaffungen Bauliche Maßnahmen durchgeführt Kommunikation/ Gespräch
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.08.2017 |
| 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 halbjährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |