Dealing with risks in patient care

Quality management

Diplom-Pflegewirt (FH) Frank Schwietert

Qualitätsmanagementbeauftragter

St. Annenstr. 9
49624 Löningen

Phone: 05431 -15-2669
Mail: ed.hbmg-qkc@mq

Geschäftsführer, Pflegemanagement, Ärztliche Direktion, QM

Conference frequency: bei Bedarf

Risk management

Till Puncak

Qualitätsmanagement/Risikomanagement

St. Annenstr. 9
49624 Löningen

Phone: 05431 -15-1863
Fax: 05431-15-1803
Mail: ed.hbmg-qkc@kacnup.t

Geschäftsführung, Pflegemanagement und bei Bedarf Mitarbeiter der Fachabteilungen

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM05

Pain management

Leitlinie Akutschmerztherapie (26.10.2020)

RM06

Fall prophylaxis

PD PB ES 04 Prozessbeschreibung Expertenstandard Sturzprophylaxe ÄStand 1 (15.06.2021)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

PD PB ES 01 Prozessbeschreibung Expertenstandard Dekubitusprophylaxe ÄStand 1 (15.06.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM18

Discharge management

PD PB ES 05 Prozessbeschreibung Expertenstandard Entlassungsmanagement ÄStand 1 (15.06.2021)

Fault reporting systems

Conference committee

Conference frequency: andere Frequenz

Measures

alle 2 Wochen

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 08.01.2019

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
EF14

CIRS Health Care