Dealing with risks in patient care
Quality management
Nadine Leis
Leiterin Qualitätsmanagement
Winterberg 1
66119 Saarbrücken
Phone:
0681
-963-1020
Mail:
ed.nekceurbraas-mukinilk@mq
Direktorium, Mitarbeiter des Qualitätsmanagements. Weitere Arbeitsgruppen, die entsprechend der jährlichen Qualitätsziele zusammengestellt werden.
Conference frequency: quartalsweise
Risk management
Nadine Leis
Leiterin Qualitätsmanagement
Phone:
0681
-963-1020
Fax: 0681-963-1019
Mail:
ed.nekceurbraas-mukinilk@mq
Direktorium, Mitarbeiter des Qualitätsmanagements. Weitere Arbeitsgruppen, die entsprechend der jährlichen Qualitätsziele zusammengestellt werden.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagement-Handbuch (08.02.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Management-Review (09.02.2023) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement (22.06.2021) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (09.05.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (16.06.2021) |
| RM08 |
Regulated handling of custodial measures Umgang mit freiheitsentziehenden Maßnahmen (29.11.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Defektes Gerät im Anwendungsbereich (29.11.2022) |
| 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 Management-Review (09.02.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Management-Review (09.02.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Management-Review (09.02.2023) |
| RM17 |
Standards for recovery and postoperative care Management-Review (09.02.2023) |
| RM18 |
Discharge management Management-Review (09.02.2023) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Fehlermeldungen werden zeitnah bearbeitet. Über eingeleitete Verbesserungsmaßnahmen werden alle Beschäftigten per E-Mail informiert. Zusätzlich werden Ergebnisse interdisziplinär und interprofessionell in Schulungen und Gremien kommuniziert.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.06.2023 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken jährlich |
Conference committee
Conference frequency: halbjährlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |