Dealing with risks in patient care
Quality management
Monika Döbl
Qualitätsmanagement
Schützenstaße 55
23843 Bad Oldesloe
Phone:
04531
-68-2443
Mail:
moc.soipelksa@lbeod.m
Geschäftsführung und Qualitätsmanagement-Beauftragte
Conference frequency: bei Bedarf
Risk management
Monika Döbl
Assistenz der GF, QM & Marketing, seit 20.9.2023
Schützenstr.
23843 Bad Oldesloe
Phone:
04531
-68-2443
Mail:
moc.soipelksa@lbeod.m
Geschäftsführung und Qualitätsmanagement-Beauftragte
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available KO_CIRS-Konzept lt. Konzern (30.04.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management VA-Medizinisches Notfallmanagment (29.07.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (31.01.2023) |
| RM08 |
Regulated handling of custodial measures AKG-V-VA-58_Umgang mit freiheitsentziehenden Maßnahmen (24.08.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (04.02.2020) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Sichere Patientenidentifikation (06.08.2020) |
| RM17 |
Standards for recovery and postoperative care VA Postoperative Schmerztherapie (12.08.2020) |
| RM18 |
Discharge management VA Entlassmanagement (28.06.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
- kontinuierliche Fortbildungen (Ärzte/Pflege) zum Thema Hygiene (speziell zu MRSA / ISO Patienten)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.04.2021 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |