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Johanniter-Krankenhaus Geesthacht GmbH

Dealing with risks in patient care

Quality management

Corinna Wagner

Qualitätsmanagementbeauftragte

Am Runden Berge 3
21502 Geesthacht

Phone: 04152 -171-406
Mail: ed.retinnahoj.agoj@rengaw.anniroc

Geschäftsleitung, Ärztliche Leitung, Pflegedirektion, Qualitätsmanagement

Conference frequency: bei Bedarf

Risk management

Corinna Wagner

Qualitätsmanagementbeauftragte

Phone: 04152 -171-406
Fax: 04152-171-421
Mail: ed.retinnahoj.agoj@rengaw.anniroc

Geschäftsleitung, Ärztliche Leitung, Pflegedirektorin, Qualitätsmanagement

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

Fehlermeldemanagement CIRS (21.12.2022)
RM02

Regular further education and training measures
RM03

Employee surveys
RM04

Clinical emergency management

MAX-Alarm (19.10.2022)
RM05

Pain management

NRS Schmerzscreening (09.10.2022)
RM07

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

Aufnahmestatus Dekubitus (16.10.2022)
RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Qualitätszirkel
RM12

Use of standardised information sheets
RM13

Application of standardised surgical check lists
RM16

Procedure to avoid procedural and patient mix-ups

Patientenidentifikation (14.11.2022)
RM18

Discharge management

Entlassungsmanagement (fachabteilungsspezifisch) (23.06.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Implementierung standardisierter Verfahrensabläufe

No. Explanation
IF02

Internal evaluation of the received reports

taken bei Bedarf
Conference committee

Conference frequency: bei Bedarf

No. Explanation
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)