Dealing with risks in patient care

Quality management

Roman Lovenfosse

Geschäftsführer

Vogelsang 105
34346 Hann. Münden

Phone: 05541 -996-436
Mail: ed.eumhk@trauqirt.s

Geschäftsführung/ Leitende Ärzte/ Pflegedienstleitung

Conference frequency: monatlich

Risk management

Roman Lovenfosse

Geschäftsführer

Vogelsang 105
34346 Hann. Münden

Phone: 05541 -996-436
Fax: 05541-996-104
Mail: ed.eumhk@trauqirt.s

Geschäftsführung/ Leitende Ärzte/ Pflegedienstleitung

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM04

Clinical emergency management

Alarm- und Einsatzplan inkl. MANV 01.01.2025; Ausfallkonzept kritische Infrastruktur 22.10.2024 (01.01.2025)

RM05

Pain management

Leitlinie zur Schmerztherapie (08.03.2022)

RM06

Fall prophylaxis

VA Umgang mit sturzgefährdeten Patienten/ Sturzprophylaxe (05.04.2022)

RM07

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

VA Umgang mit Dekubitus-Patienten SOP Dekubitusprophylaxe (21.05.2025)

RM08

Regulated handling of custodial measures

VA Freiheitsentziehende Maßnahmen (05.02.2024)

RM09

Regulated handling of occurring malfunctions of devices

Vertrag zur Geräteüberwachung (15.02.2018)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • 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

OP-Statut (Vermeidung von Patienten- und Eingriffsverwechselungen) (01.07.2020)

RM17

Standards for recovery and postoperative care

Behandlungspfade / SOP Aufwachraum (17.12.2021)

RM18

Discharge management

Entlassmanagement (05.04.2022)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

*

No. Explanation
IF01

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

As of: 01.10.2019

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: