Dealing with risks in patient care
Quality management
Matthäus Trzensimiech
Qualitätsmanagementbeauftragter
Goslarsche Landstraße 60
31135 Hildesheim
Phone:
05121
-103-7370
Mail:
ed.soema.miehsedlih@hceimisnezrT.sueahttaM
Matthäus Trzensimiech
Qualitätsmanagementbeauftragter
Goslarsche Landstraße 60
31135 Hildesheim
Phone:
05121
-103-7370
Mail:
ed.soema.miehsedlih@hceimisnezrT.sueahttaM
Qualitätsmanagement, Krankenhausdirektion, Ärztliche Direktion, Pflegedirektion, Betriebsrat
Conference frequency: monatlich
Risk management
Qualitätsmanagement, Krankenhausdirektion, Ärztliche Direktion, Pflegedirektion, Betriebsrat
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikorichtlinie (01.03.2016) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM06 |
Fall prophylaxis Risikorichtlinie (01.03.2016) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Risikorichtlinie (01.03.2016) |
| RM08 |
Regulated handling of custodial measures Risikorichtlinie (01.03.2016) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM18 |
Discharge management Risikorichtlinie (01.03.2016) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Regelmäßige Information der Krankenhausleitung über die aktuelle COVID-19-Situation mittels Veröffentlichung von Newslettern.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.08.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
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) |