Dealing with risks in patient care
Quality management
Frau Meryem Seifert
Qualitätsmanagementbeauftrage
Helmstedter Str. 35
38102 Braunschweig
Phone:
0531
-7011-334
Mail:
ed.giewhcsnuarb-tfitsneiram@trefies.m
interdisziplinär, QZ nach Themen und entsprechender Zusammensetzung. Ansprechpartner in allen Bereichen ernannt. Wöchentliche Tagung der Krankenhausleitung, die kurzfristig relevante Themen behandelt. Es werden regelmäßig QM-Konferenzen zu Schulungszwecken abgehalten.
Conference frequency: bei Bedarf
Risk management
Julia Stadler
Riskmanagerin
Helmstedter Str. 35
38102 Braunschweig
Phone:
0531
-7011-329
Fax: 0531-7011-5321
Mail:
ed.giewhcsnuarb-tfitsneiram@reldats.j
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM/RM Dokumentation (01.10.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management QM/RM Dokumentation (01.10.2023) |
| RM05 |
Pain management QM/RM Dokumentation (01.10.2023) |
| RM06 |
Fall prophylaxis QM/RM Dokumentation (01.10.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM/RM Dokumentation (01.10.2023) |
| RM08 |
Regulated handling of custodial measures QM/RM Dokumentation (01.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM/RM Dokumentation (01.10.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings QM/RM Dokumentation (01.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM/RM Dokumentation (01.10.2023) |
| RM17 |
Standards for recovery and postoperative care QM/RM Dokumentation (01.10.2023) |
| RM18 |
Discharge management QM/RM Dokumentation (01.10.2023) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
CIRS kontinuierliche Auswertung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.06.2023 |
| 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: