Dealing with risks in patient care
Quality management
Anne-Marie Häse
Stabsstelle Qualitätsmanagement
Mühlweg 7
06114 Halle
Phone:
0345
-778-6121
Mail:
ed.ellah-kreweinokaid@tnemeganamsteatilauq
Conference frequency:
Risk management
Anne-Marie Häse
Stabsstelle Qualitätsmanagement
Mühlweg 7
06114 Halle
Phone:
0345
-778-6121
Fax: 0345-778-6565
Mail:
ed.ellah-kreweinokaid@tnemeganamsteatilauq
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitäts- und Risikomanagementhandbuch (24.05.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Medizinisches Notfallmanagement im Diakoniekrankenhaus Verfahrensanweisung Reanimation Checkliste Überprüfung Notfallequipment (18.08.2022) |
| RM05 |
Pain management Standard Konzept postoperative Schmerztherapie im Diakoniekrankenhaus Standard Postoperatives Schmerzschema (20.04.2021) |
| RM06 |
Fall prophylaxis Handbuch Pflegestandards - Kapitel Sturzprophylaxe (06.06.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Handbuch Pflegestandards - Kapitel Dekubitusprophylaxe (06.06.2023) |
| RM08 |
Regulated handling of custodial measures Umgang mit freiheitsentziehenden Maßnahmen und Fixierungssystemen (28.04.2016) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (26.02.2020) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss OP-Statut (10.10.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut (10.10.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Checkliste im KIS (01.01.2023) |
| RM17 |
Standards for recovery and postoperative care Handbuch Pflegestandards Anästhesie und ITS (10.08.2020) |
| RM18 |
Discharge management Entlassmanagement im Diakoniekrankenhaus (11.01.2018) |
Fault reporting systems
Conference committee
Conference frequency:
Measures
strukturierte Erfassung und Bearbeitung von Fehlermeldungen; Bearbeitung, Weiterleitung und Nachkontrolle von eingeleiteten Maßnahmen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 24.05.2023 |
| 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: