Dealing with risks in patient care

Quality management

Andrea Hennicke

Regionalverantwortliche QM AMEOS OST

Bodestraße 11
39418 Staßfurt

Phone: 03473 -971071-
Mail: ed.soema.tso@dz.hdna

Krankenhausdirektor, Pflegedirektor, Ärztlicher Direktor, Qualitätsbeauftragte

Conference frequency: monatlich

Risk management

Andrea Hennicke

Regionalverantwortliche QM AMEOS OST

Bodestr. 11
39418 Staßfurt

Phone: 03473 -971071-
Mail: ed.soema.tso@dz.hdna

Krankenhausdirektor, Pflegedirektor, Ärztlicher Direktor, Qualitätsbeauftragte

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

RM-Richtlinie (09.12.2020)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

RM-Richtlinie (09.12.2020)

RM05

Pain management

RM-Richtlinie (09.12.2020)

RM06

Fall prophylaxis

RM-Richtlinie (09.12.2020)

RM07

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

RM-Richtlinie (09.12.2020)

RM09

Regulated handling of occurring malfunctions of devices

RM-Richtlinie (09.12.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Tumorkonferenzen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM18

Discharge management

RM-Richtlinie (09.12.2020)

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: 13.12.2022

IF02

Internal evaluation of the received reports

taken quartalsweise

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: