Hochwaldkrankenhaus Bad Nauheim

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

Risikomanagement Handbuch, Qualitätsmanagementhandbuch und Leitfaden zur Krisenkommuniktion (11.08.2022)

Regular further education and training measures

Clinical emergency management

VA Notfallmanagement (18.06.2022)

Pain management

QMV Expertenstandard akuter Schmerz (18.08.2023)

Fall prophylaxis

Expertenstandard Sturzprophylaxe (03.07.2022)

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

QMV Expertenstandard Dekubitusprophylaxe (23.07.2022)

Regulated handling of custodial measures

QMV Fixierungsrichtlinien (19.07.2023)

Regulated handling of occurring malfunctions of devices

Risikomanagement Handbuch (12.06.2022)

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

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

Use of standardised information sheets

Application of standardised surgical check lists

Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss

QMC OP-Checkliste (11.12.2022)

Preoperative, complete presentation of necessary findings

OP-Checkliste (11.12.2022)

Procedure to avoid procedural and patient mix-ups

QMV Team Time Out, Patientenidentifikationsarmband (11.12.2022)

Discharge management

Expertenstandard Entlassungsmanagement (21.02.2023)

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

As of: 14.08.2022

Internal evaluation of the received reports

taken quartalsweise

Training of employees in handling the error reporting system and in implementing the findings from the error reporting system

taken jährlich