Dealing with risks in patient care

Quality management

Conny Thate

QMB/ ISB

Herzogswalder Str. 1
09633 Halsbrücke OT Hetzdorf

Phone: 035209 -27-9992
Mail: ed.frodzteh-aher@etaht.c

Therapie, Pflegedienst, Technik, Ernährungsberatung, Rezeption, Diagnostik, ärztlicher Dienst

Conference frequency: monatlich

Risk management

Conny Thate

QMB/ ISB

Herzogswalder Str. 1
09633 Halsbrücke OT Hetzdorf

Phone: 035209 -27-9992
Mail: ed.frodzteh-aher@etaht.c

Geschäftsführung; Informationssicherheitsbeauftragter, ärztlicher Leiter

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM01

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

QM/RM-Handbuch vom 10.11.2020 (05.03.2024)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QM/RM-Handbuch vom 03.11.2020 (03.04.2025)

RM06

Fall prophylaxis

QM/RM-Handbuch vom 03.11.2020 (26.03.2025)

RM07

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

Pflegestandard Nr. 1.5.1 - Dekubitusprophylaxe Dekubitusprophylaxe vom 29.09.2022 (21.11.2024)

RM08

Regulated handling of custodial measures

Protokoll über körperliche Fixierung des Patienten vom 26.10.2023 (07.01.2025)

RM09

Regulated handling of occurring malfunctions of devices

Schadensmeldung von Geräten/Betriebsausstattungen vom 25.04.2023 (03.04.2025)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
RM12

Use of standardised information sheets

RM18

Discharge management

VA-Entlassmanagement (03.04.2025)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Bewertung und Maßnahmen im Gremium

No. Explanation
IF01

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

As of: 06.05.2024

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: