Dealing with risks in patient care

Quality management

Dipl. Pflegewirt (FH) Sebastian Friedrichs

Leitung Qualitätsmanagement (QMB)

Am Damm 1
24837 Schleswig

Phone: 0461 -816-2510
Mail: gro.resetlam@shcirdeirF.naitsabeS

Direktorium mit QMB

Conference frequency: monatlich

Risk management

Sebastian Friedrichs

Leitung Qualitätsmanagement (QMB)

Phone: 0461 -816-2510
Fax: 0461-816-2012
Mail: gro.resetlam@shcirdeirF.naitsabeS

Direktorium mit QMB

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (08.05.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM-Handbuch (14.02.2022)

RM05

Pain management

QM- Handbuch (19.09.2022)

RM06

Fall prophylaxis

QM-Handbuch (20.04.2023)

RM07

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

QM-Handbuch (17.04.2023)

RM08

Regulated handling of custodial measures

QM-Handbuch (14.06.2022)

RM09

Regulated handling of occurring malfunctions of devices

QM-Handbuch (10.08.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • interne
  • fallbezogene interdisziplinäre Beratung
RM12

Use of standardised information sheets

RM18

Discharge management

QM-Handbuch (11.01.2022)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Anwendung von Wirkstoffanordnungen, Laufende Optimierung von Verfahrens- und Prozessbeschreibungen, Sturzprävention, Dekubitusprävention, Beschwerdemanagement, CIRS

No. Explanation
IF01

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

As of: 11.11.2021

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 bei Bedarf

Conference committee

Conference frequency: jährlich

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)