Dealing with risks in patient care
Quality management
Berndt Poppenga
Qualitätsmanagement
Hermann-Ehlers-Straße 7
26160 Bad Zwischenahn
Phone:
0441
-9615-654
Mail:
ed.kjk@agneppop.tdnreb
Geschäftsführung, Ärztlicher Direktor, Pflegedirektorin, Teamleiter Personalmanagement, Betriebsratsvorsitzender, Sicherheitsmanager, Qualitätsmanager
Conference frequency: monatlich
Risk management
Berndt Poppenga
Qualitätsmanagement
Hermann-Ehlers-Straße 7
26160 Bad Zwischenahn
Phone:
0441
-9615-654
Mail:
ed.kjk@agneppop.tdnreb
Geschäftsführung, Ärztlicher Direktor, Pflegedirektorin, Teamleiter Personalmanagement, Betriebsratsvorsitzender, Sicherheitsmanager, Qualitätsmanager
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement_VA (12.10.2023) |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Medizinisches Notfallmanagement-VA (08.08.2023) |
| RM06 |
Fall prophylaxis Pflegestandard Struzprophylaxe (22.09.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard_Dekubitusprophylaxe (15.09.2023) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Freiheitsentziehende Maßnahmen (03.01.2023) |
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management Entlassmanagement SGB V (29.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Kennzahlenbasiertes QM-Reporting, Deeskalationsschulungen, Sicherheitsdienst im Gelände, Personennotrufanlage, Qualitätszirkel-Sicherheit
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 05.09.2022 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
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) |