Dipl.- Med. Sabine Ermer
Medizinische Geschäftsführung
                    Dübener Straße 3-9
                    04509 Delitzsch
                
             Phone:
            03423
                -667174-
                            
                 Mail:
                ed.hbmg-hcsztiled-hkk@remre.s
                    
alle Fachbereiche standortübergreifend
Conference frequency: bei Bedarf
Robert Müller
Verwaltungsleiter
                    Dübener Straße 3-9
                    04509 Delitzsch
                
             Phone:
            034202
                -767-109
            
                            
                 Mail:
                ed.hbmg-hcsztiled-hkk@relleum.r
                    
alle Fachbereiche standortübergreifend
Conference frequency: bei Bedarf
| No. | Explanation | 
|---|---|
| RM01 | Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM/RM-Dokumentation vom (31.12.2019) | 
| RM03 | Employee surveys | 
| RM04 | Clinical emergency management Notfallmanagement als Bestandteil des übergeordneten Katastrophenmanagement vom (31.12.2019) | 
| RM05 | Pain management QM/RM-Dokumentation vom (31.12.2019) | 
| RM06 | Fall prophylaxis QM/RM-Dokumentation vom (31.12.2019) | 
| RM07 | Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM/RM-Dokumentation vom (31.12.2019) | 
| RM08 | Regulated handling of custodial measures QM/RM-Dokumentation vom (31.12.2019) | 
| RM09 | Regulated handling of occurring malfunctions of devices QM/RM-Dokumentation vom (31.12.2019) | 
| RM10 | Structured implementation of interdisciplinary case discussions/conferences Case review conference 
 | 
| RM12 | Use of standardised information sheets | 
| RM13 | Application of standardised surgical check lists | 
| RM14 | Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss QM/RM-Dokumentation vom (31.12.2019) | 
| RM15 | Preoperative, complete presentation of necessary findings QM/RM-Dokumentation vom (31.12.2019) | 
| RM16 | Procedure to avoid procedural and patient mix-ups QM/RM-Dokumentation vom (31.12.2019) | 
| RM17 | Standards for recovery and postoperative care QM/RM-Dokumentation vom (31.12.2019) | 
| RM18 | Discharge management QM/RM-Dokumentation vom (31.12.2019) | 
Conference frequency: bei Bedarf
anlassbezogene Auswertung und Festlegung organisatorischer und ablauftechnischer Maßnahmen
| No. | Explanation | 
|---|---|
| IF01 | Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2019 | 
| 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: bei Bedarf
| No. | Explanation | 
|---|---|
| Other |