Dealing with risks in patient care
Quality management
Karen Jacob
Qualitätsmanagementbeauftragte
Kleckerwaldweg 145
21266 Jesteburg
Phone:
04183
-799-197
Mail:
ed.grubetsej-kinilkdlaw@mq
Geschäftsführung, Ärztlicher Direktor, Kaufmännische Leiterin, Pflegedienstleitung, Therapieleitung, QMB, technischer Leiter, Personalleiter, Chefärzte
Conference frequency: monatlich
Risk management
Susi Tensfeldt
Qualitätsmanagementbeauftragte
21262 Jesteburg/Nordheide
Phone:
04183
-799-156
Mail:
ed.grubetsej-kinilkdlaw@mq
Verwaltung, Pflege, Therapie, Ärzte, Küche, Reinigung, QMB
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available CIRS-Meldungen (31.12.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Richtlinie zum Notfallmanagement (31.12.2023) |
| RM06 |
Fall prophylaxis Richtlinie zur Sturzprophylaxe (02.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Arbeitsanweisung zur Dekubitusprophylaxe (31.12.2023) |
| RM08 |
Regulated handling of custodial measures Richtlinie zu freiheitsentziehende Maßnahmen bei Patienten der Waldklinik Jesteburg (05.02.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM18 |
Discharge management Richtlinie zum Entlassungsmanagement (18.07.2023) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
Risikoaudits
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.11.2023 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |