Stefan Eidenschink
Leitung QM
                    Wörnerweg 30
                    83670 Bad Heilbrunn
                
             Phone:
            08046
                -18-4848
                            
                 Mail:
                ed.nnurblieh-dab-kinilkhcaf@knihcsnedie.nafets
                    
Chefärzte, Klinikdirektion, Personalleitung, QM-Team aus den Bereichen Verwaltung, Medizin, Pflegedienst, Therapie,
Conference frequency: wöchentlich
Stefan Eidenschink
Leitung QM
                    Wörnerweg 30
                    83670 Bad Heilbrunn
                
             Phone:
            08046
                -18-4848
                            
                 Fax: 08046-18-1117
            
                            
                 Mail:
                ed.nnurblieh-dab-kinilkhcaf@knihcsnedie.nafets
                    
Chefärzte, Klinikdirektion, Personalleitung, QM-Team aus den Bereichen Verwaltung, Medizin, Pflegedienst, Therapie,
Conference frequency: wöchentlich
| No. | Explanation | 
|---|---|
| RM01 | 
														 Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (14.08.2023)  | 
												
| RM02 | 
														 Regular further education and training measures  | 
												
| RM03 | 
														 Employee surveys  | 
												
| RM04 | 
														 Clinical emergency management QM-Handbuch (14.08.2023)  | 
												
| RM05 | 
														 Pain management QM-Handbuch (14.08.2023)  | 
												
| RM06 | 
														 Fall prophylaxis QM-Handbuch (14.08.2023)  | 
												
| RM07 | 
														 Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard (14.08.2023)  | 
												
| RM08 | 
														 Regulated handling of custodial measures QM-Handbuch (14.08.2023)  | 
												
| RM10 | 
														 Structured implementation of interdisciplinary case discussions/conferences Case review conference 
  | 
												
| RM12 | 
														 Use of standardised information sheets  | 
												
| RM18 | 
														 Discharge management QM-Handbuch (14.08.2023)  | 
												
Conference frequency: andere Frequenz
Neukonzeption des Trachealkanülenmanagements einhergehend mit der Etablierung eines interdisziplinären TK-Teams und regelmäßigen Pflichtschulungen zum Thema.
| No. | Explanation | 
|---|---|
| IF01 | 
														 Documentation and procedural instructions for handling the error reporting system are available As of: 14.08.2023  | 
												
| 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 frequency: