Dealing with risks in patient care

Quality management

Monika Döbl

Assistenz der GF, QM & Marketing, seit 20.9.2023

Schützenstaße 55
23843 Bad Oldesloe

Phone: 04531 -68-2443
Mail: moc.soipelksa@lbeod.m

Monika Döbl

Assistenz der GF, QM & Marketing, seit 20.9.2023

Schützenstaße 55
23843 Bad Oldesloe

Phone: 04531 -68-2443
Mail: moc.soipelksa@lbeod.m

Geschäftsführung und Qualitätsmanagement-Beauftragte

Conference frequency: bei Bedarf

Risk management

Monika Döbl

Assistenz der GF, QM & Marketing, seit 20.9.2023

Schützenstr.
23843 Bad Oldesloe

Phone: 04531 -68-2443
Mail: moc.soipelksa@lbeod.m

Monika Döbl

Assistenz der GF, QM & Marketing, seit 20.9.2023

Schützenstr.
23843 Bad Oldesloe

Phone: 04531 -68-2443
Mail: moc.soipelksa@lbeod.m

Geschäftsführung und Qualitätsmanagement-Beauftragte

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

KO_CIRS-Konzept lt. Konzern (30.04.2021)

RM02

Regular further education and training measures

RM04

Clinical emergency management

VA-Medizinisches Notfallmanagment (29.07.2020)

RM07

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

Dekubitusprophylaxe (31.01.2023)

RM08

Regulated handling of custodial measures

AKG-V-VA-58_Umgang mit freiheitsentziehenden Maßnahmen (24.08.2020)

RM09

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medizintechnik (04.02.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM16

Procedure to avoid procedural and patient mix-ups

Sichere Patientenidentifikation (06.08.2020)

RM17

Standards for recovery and postoperative care

VA Postoperative Schmerztherapie (12.08.2020)

RM18

Discharge management

VA Entlassmanagement (28.06.2023)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

- kontinuierliche Fortbildungen (Ärzte/Pflege) zum Thema Hygiene (speziell zu MRSA / ISO Patienten)

No. Explanation
IF01

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

As of: 30.04.2021

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 bei Bedarf

Conference committee

Conference frequency: monatlich

No. Explanation

Other

EF14

CIRS Health Care