Dealing with risks in patient care

Quality management

Grit Jahn

Qualitätsmanagementbeauftragte

Eichendorffstraße 21
93149 Nittenau

Phone: 09436 -950-817
Mail: ed.flowreuassap@uanettin-gnutiel

Chefärzte, Pflege, Therapie, QMB, Geschäftsleitung

Conference frequency: wöchentlich

Risk management

Georg Detter

Prokuristin und Geschäftsleiterin

Phone: 09436 -950-904
Fax: 09436-950-919
Mail: ed.flowreuassap@uanettin-gnutiel

Antonia Henkel

Prokuristin und Geschäftsleiterin

Phone: 09436 -950-904
Fax: 09436-950-919
Mail: ed.flowreuassap@uanettin-gnutiel

Detter Georg

Geschäftsführer

Phone: 09436 -950-904
Fax: 09436-950-919
Mail: ed.flowreuassap@uanettin-gnutiel

Klinikleitung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Prozessbeschreibung in roXtra (23.03.2023)

RM05

Pain management

Prozessbeschreibungen in roXtra (30.06.2021)

RM06

Fall prophylaxis

Prozessbeschreibungen in roXtra (17.06.2022)

RM07

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

Prozessbeschreibungen in roXtra (14.01.2022)

RM08

Regulated handling of custodial measures

Prozessbeschreibungen in roXtra (20.03.2023)

RM09

Regulated handling of occurring malfunctions of devices

Prozessbeschreibungen in roXtra (10.11.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Prozessbeschreibungen in roXtra (29.10.2020)

RM18

Discharge management

Prozessbeschreibungen in roXtra (30.11.2022)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Sturz-, Dekubitusprophylaxe, Umgang mit Fixierung und Weglaufgefährdung, Patientenidentifizierung, Patientenarmband

No. Explanation
IF01

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

As of: 09.07.2021

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: bei Bedarf

No. Explanation
EF14

CIRS Health Care