Dealing with risks in patient care
Quality management
Karlheinz Schneiderchen
Kaufmännischer Direktor
Bertha-von-Suttner-Straße 1
77654 Offenburg
Phone:
0781
-9192-101
Mail:
ed.nilcidem@nehcredienhcs.zniehlrak
Klinikleitung Qualitätsmanagementbeauftragte
Conference frequency: quartalsweise
Risk management
Karlheinz Schneiderchen
Kaufmännischer Direktor
Phone:
0781
-9192-101
Fax: 0781-9192-126
Mail:
ed.nilcidem@nehcredienhcs.zniehlrak
Klinikleitung
Conference frequency: jährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available AR_KAL_Risikomanagement (01.08.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management PR Medizinischer Notfall (03.07.2021) |
| RM05 |
Pain management Dok-PED Extpertenstandard akuter Schmerz/chronischer Schmerz (25.08.2023) |
| RM06 |
Fall prophylaxis Dok-PED Expertenstandard Sturzprophylaxe. Führen eines Sturzprotokolls und Statistik (25.08.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dok-PED Expertenstandard Dekubitusprophylaxe (25.08.2023) |
| RM08 |
Regulated handling of custodial measures Qualitätsstandard 1. Isolierung: letzte Aktualisieunrg: 01.09.2023 2. Fixierung (16.12.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Lenkung fehlerhafter - defekter Medizingeräte (23.01.2018) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Dok-PED Expertenstandard Entlassmanagement (25.08.2020) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Entlassmanagement nach gesetzlichen Vorgaben
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.10.2018 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken jährlich |
Conference committee
Conference frequency: monatlich
| 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) |