Dealing with risks in patient care
Quality management
Valeri Gamirov
Qualitätsmanagementbeauftragter
Oeninger Weg 59
29614 Soltau
Phone:
05191
-800-596
Mail:
ed.nilcidem@vorimaG.irelaV
Kfm. Direktor Stellvertretender Kfm. Direktor Ärztlicher Direktor / Chefarzt Akutneurologie Chefarzt Neurologie Chefarzt Orthopädie Chefarzt Geriatrie Chefarzt Psychosomatik Pflegedienstleitung Therapieleitung Qualitätsmanagementbeauftragter
Conference frequency: monatlich
Risk management
Thorsten Rüßmann
Kaufmännischer Direktor
Phone:
05191
-800-233
Fax: 05191-800-315
Mail:
ed.nilcidem@nnamsseur.netsroht
Kfm. Direktor Stellvertretender Kfm. Direktor Ärztlicher Direktor / Chefarzt Akutneurologie Chefarzt Neurologie Chefarzt Orthopädie Chefarzt Geriatrie Chefarzt Psychosomatik Pflegedienstleitung Therapieleitung Qualitätsmanagementbeauftragter
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (19.08.2024) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch (19.08.2024) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement (13.10.2023) |
| RM06 |
Fall prophylaxis Expertenstandard Sturz (01.08.2025) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (31.05.2023) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (31.05.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch (19.08.2024) |
| 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 Qualitätsmanagementhandbuch (19.08.2024) |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement (08.06.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Dürchführung regelmäßiger Lieferantenbewertungen besonders im Bezug auf Medikamentenlieferung durch die Apotheke.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.06.2024 |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |