Dealing with risks in patient care
Quality management
Frau Nina Neumann
Qualitätsmanagementbeauftragte
Kiefholzstraße 27
39340 Haldensleben
Phone:
03904
-474-122
Mail:
ed.soema.nebelsnedlah@wrev.uenn
Krankenhausdirektor, Ärztlicher Direktor, stellvertretender Ärztlicher Direktor, Pflegedirektorin, Projektassistenz, Qualitätsmanagementbeauftragte
Conference frequency: monatlich
Risk management
Nina Neumann
Qualitätsmanagementbeauftragte
Kiefholzstraße 27
39340 Haldensleben
Phone:
03904
-474-122
Fax: 03904-474-360
Mail:
ed.soema.nebelsnedlah@wrev.uenn
Krankenhausdirektor, Ärztlicher Direktor, stellvertretender Ärztlicher Direktor, Pflegedirektorin, Projektassistenz, Qualitätsmanagementbeauftragte
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available SOP Risikorichtlinie AMEOS Gruppe Version 2 (02.04.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Prozessbeschreibung Medizinisches Notfallmanagement (02.02.2023) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement in der Pflege (02.02.2023) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe in der Pflege (02.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe in der Pflege (02.02.2023) |
| RM08 |
Regulated handling of custodial measures Prozessbeschreibung Freiheitsentziehende Maßnahmen (02.02.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Prozessbeschreibung Umgang mit defekten und ungeprüften Medizinprodukten und Geräten Region AMEOS Ost (02.02.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss OP-Checkliste (01.06.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Prozessbeschreibung Patientenarmbänder (02.02.2023) |
| RM18 |
Discharge management Expertenstandard Entlassmanagement in der Pflege, Prozessbeschreibung Entlassmanagement (02.02.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einführung Patientenarmbänder, Ersatz von defekten Geräten, Ersatzbeschaffung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.12.2022 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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 |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |