Dealing with risks in patient care

Quality management

Dipl.-Päd. Franka Freymuth

Qualitätsmanagementbeauftragte; Klinische Risikomanagerin

Virchowstraße 18
08371 Glauchau

Phone: 0375 -51-2277
Mail: ed.uakciwz-kbh@mq

standortübergreifende Vertreter des Pflegedienstes, des Ärztlichen Dienstes, der Verwaltung

Conference frequency: andere Frequenz

Risk management

Franka Freymuth

Qualitätsmanagementbeauftragte; Klinische Risikomanagerin

Virchowstraße 18
08371 Glauchau

Phone: 0375 -51-2277
Fax: 0375-51-1557
Mail: ed.uakciwz-kbh@mq

standortübergreifende Vertreter des Pflegedienstes, des Ärztlichen Dienstes, der Verwaltung

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Risikohandbuch (in Überarbeitung) (02.05.2014)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Risikohandbuch (in Überarbeitung) (02.05.2014)

RM05

Pain management

Empfehlungen perioperative Schmerztherapie (19.07.2019)

RM06

Fall prophylaxis

Handzettel Sturzprophylaxe - Patienteninformation Expertenstandard Sturzprophylaxe/Sturzereignisprotokoll (22.08.2017)

RM07

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

Dekubitusprophylaxe (15.12.2023)

RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Handlungsanweisung Patientenverwechslung (31.01.2022)

RM18

Discharge management

Standard Entlassmanagement (02.10.2019)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Hygienebegehungen, Begehungen durch Abteilung Apotheke, Erregerstatistiken, statistische Untersuchung des Händedesinfektionsmittelverbrauches, Checkliste Patientensicherheit, Patientenarmbänder, Sturz-und Dekubitusprophylaxe, AG Risiko- und Chancenmanagement, etc.

No. Explanation
IF01

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

As of: 19.08.2014

IF02

Internal evaluation of the received reports

taken monatlich

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: bei Bedarf

No. Explanation
EF03

KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association)

EF13

DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA)