Dealing with risks in patient care

Quality management

Nicole Hölscher

Qualitätsmanagement/ Risikomanagement

Melanchthonstraße 36
47805 Krefeld

Phone: 02151 -823-39204
Mail: ed.ssuen-ka@rehcsleoh.n

Geschäftsführung, Verwaltungsleitung, Ärztliche Leitung, Pflegedienstleitung, MA Qualitäts- und Risikomanagement

Conference frequency: andere Frequenz

Risk management

Nicole Hölscher

Qualitätsmanagement/ Risikomanagement

Phone: 02151 -823-39204
Fax: 02151-823-39991
Mail: ed.ssuen-ka@rehcsleoh.n

Geschäftsführung, Verwaltungsleitung, Ärztliche Leitung, Pflegedienstleitung, MA Qualitäts- und Risikomanagement

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

QM Handbuch (31.12.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM Handbuch (31.12.2021)

RM05

Pain management

QM Handbuch (31.12.2021)

RM06

Fall prophylaxis

QM Handbuch (31.12.2021)

RM07

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

QM Handbuch (31.12.2021)

RM08

Regulated handling of custodial measures

QM Handbuch (31.12.2021)

RM09

Regulated handling of occurring malfunctions of devices

QM Handbuch (31.12.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Psychiatrische Fallbesprechungen
RM12

Use of standardised information sheets

RM18

Discharge management

QM Handbuch (31.12.2021)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Verbesserung der Abläufe, Einsatz neuer Hilfsmittel

No. Explanation
IF01

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

As of: 31.12.2021

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: andere Frequenz

No. Explanation
EF06

CIRS NRW (North Rhine and Westphalia-Lippe Medical Chambers, North Rhine Westphalia Hospital Association, North Rhine and Westphalia-Lippe Association of Statutory Health Insurance Doctors, German Medical Association, National Association of Statutory Hea