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AMEOS Klinikum Hildesheim - Tagesklinik Alfeld

Dealing with risks in patient care

Quality management

Matthäus Trzensimiech

Qualitätsmanagementbeauftragter

Landrat-Beushausen-Straße 26
31061 Alfeld

Phone: 05121 -103-7370
Mail: ed.soema.miehsedlih@dz.mq

Matthäus Trzensimiech

Qualitätsmanagementbeauftragter

Landrat-Beushausen-Straße 26
31061 Alfeld

Phone: 05121 -103-7370
Mail: ed.soema.miehsedlih@dz.mq

Qualitätsmanagement, Krankenhausdirektion, Ärztliche Direktion, Pflegedirektion, Risikomanagement, Betriebsrat. Dieses Lenkungsgremium kooperiert mit dem AMEOS Klinikum Hildesheim.

Conference frequency: monatlich

Risk management

Phone: --

Risikomanagement, Qualitätsmanagement, Krankenhausdirektion, Ärztliche Direktion, Pflegedirektion, Betriebsrat

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Risikorichtlinie (01.03.2016)
RM02

Regular further education and training measures
RM03

Employee surveys
RM06

Fall prophylaxis

Risikorichtlinie (01.03.2016)
RM07

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

Risikorichtlinie (01.03.2016)
RM08

Regulated handling of custodial measures

Risikorichtlinie (01.03.2016)
RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
RM18

Discharge management

Risikorichtlinie (01.03.2016)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Regelmäßige Information der Krankenhausleitung über die aktuelle COVID-19-Situation mittels Veröffentlichung von Newslettern.

No. Explanation
IF01

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

As of: 01.08.2022
IF02

Internal evaluation of the received reports

taken quartalsweise
Conference committee

Conference frequency: monatlich

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)