Westerstede

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Qualitätsmanagement-Handbuch (24.01.2020)

Regular further education and training measures

Employee surveys

Clinical emergency management

Konzept Klinisches Notfallmanagement (28.10.2020)

Pain management

Expertenstandards Schmerzmanagement (30.01.2018)

Fall prophylaxis

Expertenstandards Sturzprophylaxe (30.01.2018)

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

Expertenstandards Dekubitusprophylaxe in der Pflege (19.04.2019)

Regulated handling of custodial measures

Verfahrensanweisung Durchführung von Fixierungen (24.01.2020)

Regulated handling of occurring malfunctions of devices

Verfahrensanweisung Einweisung Medizinprodukte (15.03.2020)

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

• Tumorkonferenzen
• Mortalitäts- und Morbiditätskonferenzen

Use of standardised information sheets

Application of standardised surgical check lists

Preoperative, complete presentation of necessary findings

Indikationsbesprechung (13.11.2018)

Procedure to avoid procedural and patient mix-ups

Team-Time-Out (13.11.2018)

Standards for recovery and postoperative care

Standards Aufwachraum undpostoperative Versorgung (03.05.2018)

Discharge management

Verfahrensanweisung Entlassungsmanagement (15.05.2018)

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

As of: 01.07.2019

Internal evaluation of the received reports

taken bei Bedarf

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken bei Bedarf

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)