M.A. Henning Eichhorst
Geschäftsführer
Am Stein 24
58706 Menden
Phone:
02371
-212-114
Mail:
ed.kmikk@ofni
Die Steuerungsgruppe besteht aus der Krankenhausleitung (ärztlicher Direktor, Pflegedirektor und Klinikmanager) und den Qualitätsmanagementbeauftragten.
Conference frequency: monatlich
Henning Eichhorst
Geschäftsführer
Am Stein 24
58706 Menden
Phone:
02371
-212-114
Mail:
ed.kmikk@ofni
Die Steuerungsgruppe besteht aus der Krankenhausleitung (ärztlicher Direktor, Pflegedirektor und Klinikmanager) und den Qualitätsmanagementbeauftragten.
Conference frequency: monatlich
No. | Explanation |
---|---|
RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (09.02.2023) |
RM02 |
Regular further education and training measures |
RM04 |
Clinical emergency management QM-Handbuch (09.02.2023) |
RM05 |
Pain management QM-Handbuch (11.08.2023) |
RM06 |
Fall prophylaxis QM-Handbuch (17.10.2023) |
RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM-Handbuch (17.10.2023) |
RM08 |
Regulated handling of custodial measures QM-Handbuch (06.07.2021) |
RM09 |
Regulated handling of occurring malfunctions of devices QM-Handbuch (14.07.2022) |
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 QM-Handbuch (08.11.2022) |
RM15 |
Preoperative, complete presentation of necessary findings QM-Handbuch (08.11.2022) |
RM16 |
Procedure to avoid procedural and patient mix-ups QM-Handbuch (09.02.2023) |
RM17 |
Standards for recovery and postoperative care QM-Handbuch (08.11.2023) |
RM18 |
Discharge management QM-Handbuch (11.08.2023) |
Conference frequency: bei Bedarf
u.a. fortlaufendes Abfragen der Patientenidentität um Verwechslungen vorzubeugen
No. | Explanation |
---|---|
IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.02.2023 |
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 frequency: bei Bedarf
No. | Explanation |
---|---|
EF06 |
CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea |