Dealing with risks in patient care
Quality management
Juliane Michaelis
Leiterin Qualitätsmanagement
Ditfurter Weg 24
06484 Quedlinburg
Phone:
03946
-909-1704
Mail:
moc.mukinilkzrah@mq
Abteilung Qualitätsmanagement, Prozessmanagement, Pflegedirektion, Beauftragter für Elektronische Dokumentation, Datenschutz und IT-Sicherheit, Medizin-Controlling, EDV
Conference frequency: bei Bedarf
Risk management
Juliane Michaelis
Leiterin Qualitätsmanagement
Phone:
03946
-909-1704
Fax: 03946-909-1787
Mail:
moc.mukinilkzrah@mq
Abteilung Qualitätsmanagement, Prozessmanagement, Pflegedirektion, Beauftragter für Elektronische Dokumentation, Datenschutz und IT-Sicherheit, Medizin-Controlling, EDV
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Verfahrensanweisung "Schmerzkonzept", DOK-Nr. 18209 und SOP "postoperative Schmerztherapie", DOK-Nr. 12774 (29.03.2017) |
| RM06 |
Fall prophylaxis Sturzprophylaxe und Sturzdokumentation, DOK-Nr. 5402 (23.05.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe, Dok-Nr: 23236 (03.12.2018) |
| RM08 |
Regulated handling of custodial measures Fixierung und sonstige freiheitsentziehende Maßnahmen, DOK-Nr. 17790 (03.06.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dok.-Nr. 25768 (05.02.2020) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut (Dok.-Nr. 11967) (27.08.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Statut (Dok.-Nr. 11967) (27.08.2020) |
| RM17 |
Standards for recovery and postoperative care OP-Statut (Dok.-Nr. 11967) (27.08.2020) |
| RM18 |
Discharge management Entlassungsmanagement (Dok.-Nr. 5877) (18.05.2017) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
- Anwendung von Patientenarmbändern - mind. 4 h postoperative Überwachung im Aufwachraum - Anwendung einer Checkliste zur Vermeidung von Medikamentenverwechselung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.01.2022 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |