Dealing with risks in patient care
Quality management
Frau Heike Hempel
Sachgebietsleiterin Qualitätsmanagement
Rudolf-Breitscheid-Platz 1
07580 Ronneburg
Phone:
03661
-46-2220
Mail:
ed.zierg-latipsoh@lepmeh.h
Chefarzt, Pflegedirektorin, Bereichsleitungen, Sachgebietsleiterin Qualitätsmanagement, Hygienefachkraft
Conference frequency: quartalsweise
Risk management
Heike Hempel
Sachgebietsleiterin Qualitätsmanagement
Rudolf-Breitscheid-Platz 1
07580 Ronneburg
Phone:
03661
-46-2220
Fax: 03661-46-2212
Mail:
ed.zierg-latipsoh@lepmeh.h
Chefarzt, Pflegedirektorin, Bereichsleitungen, Sachgebietsleiterin Qualitätsmanagement, Hygienefachkraft
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfall -und Geräte (25.08.2022) |
| RM05 |
Pain management 8.1 Schmerz (16.11.2019) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Nationaler Expertenstandard Sturz und Sturzprophylaxe (16.11.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Arbeitsanweisung Pflege: Dekubitusprophylaxe (Nr. 2906) (06.03.2020) |
| RM08 |
Regulated handling of custodial measures Freiheitseinschränkende Maßnahmen/ Fixierung Ausleihe der Fixierungsmaterialien (02.11.2021) |
| 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 Anweisung (01.06.2015) |
| RM18 |
Discharge management Entlassmanagement (Nr. 1956) (15.07.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Patientenarmband, Fallbesprechungen, Umsetzung bestimmter Expertenstandards, Checklisten
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.05.2021 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |