Nicole Hölscher
Qualitätsmanagement/ Risikomanagement
                    Melanchthonstraße 36
                    47805 Krefeld
                
             Phone:
            02151
                -823-39204
                            
                 Mail:
                ed.ssuen-ka@rehcsleoh.n
                    
Geschäftsführung, Verwaltungsleitung, Ärztliche Leitung, Pflegedienstleitung, MA Qualitäts- und Risikomanagement
Conference frequency: andere Frequenz
Nicole Hölscher
Qualitätsmanagement/ Risikomanagement
             Phone:
            02151
                -823-39204
                            
                 Fax: 02151-823-39991
            
                            
                 Mail:
                ed.ssuen-ka@rehcsleoh.n
                    
Geschäftsführung, Verwaltungsleitung, Ärztliche Leitung, Pflegedienstleitung, MA Qualitäts- und Risikomanagement
Conference frequency: andere Frequenz
| No. | Explanation | 
|---|---|
| RM01 | 
														 Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Handbuch (31.12.2021)  | 
												
| RM02 | 
														 Regular further education and training measures  | 
												
| RM03 | 
														 Employee surveys  | 
												
| RM04 | 
														 Clinical emergency management QM Handbuch (31.12.2021)  | 
												
| RM05 | 
														 Pain management QM Handbuch (31.12.2021)  | 
												
| RM06 | 
														 Fall prophylaxis QM Handbuch (31.12.2021)  | 
												
| RM07 | 
														 Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM Handbuch (31.12.2021)  | 
												
| RM08 | 
														 Regulated handling of custodial measures QM Handbuch (31.12.2021)  | 
												
| RM09 | 
														 Regulated handling of occurring malfunctions of devices QM Handbuch (31.12.2021)  | 
												
| RM10 | 
														 Structured implementation of interdisciplinary case discussions/conferences Case review conference 
  | 
												
| RM12 | 
														 Use of standardised information sheets  | 
												
| RM18 | 
														 Discharge management QM Handbuch (31.12.2021)  | 
												
Conference frequency: bei Bedarf
Verbesserung der Abläufe, Einsatz neuer Hilfsmittel
| No. | Explanation | 
|---|---|
| IF01 | 
														 Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2022  | 
												
| IF02 | 
														 Internal evaluation of the received reports taken bei Bedarf  | 
												
| IF03 | 
														 Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf  | 
												
Conference frequency: andere Frequenz
| No. | Explanation | 
|---|---|
| EF06 | 
															 CIRS NRW (North Rhine and Westphalia-Lippe Medical Associations, North Rhine-Westphalia Hospital Association, North Rhine and Westphalia-Lippe Associations of Statutory Health Insurance Physicians, German Medical Association)  |