Dealing with risks in patient care
Quality management
Iris Runge
Leiterin Qualitätsmanagement
Harsefelder Str. 8
21680 Stade
Phone:
04141
-604-393
Mail:
ed.nekcnah@mq
Geschäftsführung, Leitende Ärzte, Pflegedienstleitung, Stationsärzte, Abteilungsleiter Medizincontrolling, Psychoonkologin, QMB
Conference frequency: monatlich
Risk management
Iris Runge
Leiterin Qualitätsmanagement
21645 Stade
Phone:
04141
-604-393
Fax: 04141-604-163
Mail:
ed.nekcnah@mq
Geschäftsführung, Leitende Ärzte, Pflegedienstleitung, Stationsärzte, Abteilungsleiter Medizincontrolling, Psychoonkologin, QMB
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Teil der QM-DokumentationQM/RM-Dokumentation liegt vor: (02.11.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Notfallplan (09.09.2022) |
| RM05 |
Pain management SOP Schmerztherapie (14.09.2023) |
| RM06 |
Fall prophylaxis SOP Sturzprophylaxe (14.09.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe in der Pflege (17.09.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Teil der QM-DokumentationQM/RM-Dokumentation liegt vor: (28.07.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM16 |
Procedure to avoid procedural and patient mix-ups SOP Patientensicherheit (01.11.2023) |
| RM18 |
Discharge management Aufnahme- und Entlassungsmanagement (21.06.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Patientenverwechslung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.11.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| 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) |