Dealing with risks in patient care

Quality management

Frau Jenny Sens

Qualitätsmanagement

Mühlenkamp 5
23758 Oldenburg i.H.

Phone: 04521 -787-1340
Mail: ed.soema@snes.ynnej

Geschäftsführung, kaufm. Direktor, Pflegedirektorium, Qualitätsmanagement

Conference frequency: monatlich

Risk management

Jenny Sens

Qualitätsmanagement

Mühlenkamp 5
23758 Oldenburg i.H.

Phone: 04521 -787-1340
Mail: ed.soema@snes.ynnej

Geschäftsführung, kaufm. Direktor, Pflegedirektorium, Qualitätsmanagement, ÄD

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (01.11.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM-Handbuch (01.11.2023)

RM05

Pain management

QM-Handbuch (01.11.2023)

RM06

Fall prophylaxis

QM-Handbuch (01.11.2023)

RM07

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

QM-Handbuch (01.11.2023)

RM08

Regulated handling of custodial measures

QM-Handbuch (01.11.2023)

RM09

Regulated handling of occurring malfunctions of devices

QM-Handbuch (01.11.2023)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM12

Use of standardised information sheets

RM13

Application of standardised surgical check lists

RM14

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

QM-Handbuch (01.11.2023)

RM15

Preoperative, complete presentation of necessary findings

QM-Handbuch (01.11.2023)

RM16

Procedure to avoid procedural and patient mix-ups

QM-Handbuch (01.11.2023)

RM17

Standards for recovery and postoperative care

QM-Handbuch (01.11.2023)

RM18

Discharge management

QM-Handbuch (01.11.2023)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

entsprechend den Meldungen

No. Explanation
IF01

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

As of: 27.04.2023

IF02

Internal evaluation of the received reports

taken quartalsweise

Conference committee

Conference frequency: