Dealing with risks in patient care
Quality management
Frau Kristina Patzelt
QM-Leiterin
Rohdehof 3 3
30853 Langenhagen
Phone:
--
Mail:
ed.hrk@seirf.anitsirk
Herr Dr. med. Martin Stolz (Ärztlicher Direktor) Herr Tobias Vaasen (Geschäftsführender Direktor Klinikum Mitte)
Conference frequency: quartalsweise
Risk management
Martin Stolz
Ärztlicher Direktor
Rohdehof 3
30853 Langenhagen
Phone:
0511
-7300-301
Fax: 0511-7300-306
Mail:
ed.hrk@zlots.nitram
Herr Dr. med. Martin Stolz (Ärztlicher Direktor) Herr Tobias Vaasen (Geschäftsführender Direktor Klinikum Mitte)
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement (17.09.2018) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Risikomanagement (17.09.2018) |
| RM06 |
Fall prophylaxis Risikomanagement (17.09.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Risikomanagement (17.09.2018) |
| RM08 |
Regulated handling of custodial measures Risikomanagement (17.09.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagement (17.09.2018) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Risikomanagement (17.09.2018) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Wir arbeiten nach folgenden Standards: CIRS für patientenversorgende Einrichtungen nach gesetzlicher Vorgabe (SGB V § 136a)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 14.10.2019 |
| 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 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) |