Dealing with risks in patient care
Quality management
Kristin Heinicke
Medizincontrolling
Colditzer Straße 48
04703 Leisnig
Phone:
034321
-8-156
Mail:
ed.tiehdnuseg-soileh@ekcinieh.nitsirk
Kristin Heinicke
Medizincontrolling
Colditzer Straße 48
04703 Leisnig
Phone:
034321
-8-156
Mail:
ed.tiehdnuseg-soileh@ekcinieh.nitsirk
ÄD, Pflege, BR
Conference frequency: halbjährlich
Risk management
Julian Zimmer
Klinikgeschäftsführer
Phone:
034321
-8-131
Fax: 034321-8-111
Mail:
ed.tiehdnuseg-soileh@remmiz.nailuj
Pflegedienst, ärztl. Dienst, Verwaltungsdienst
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzernregelung zum Umgang mit medizinischen Schadensfällen und Haftpflichtansprüchen vom (31.08.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (28.02.2017) |
| RM06 |
Fall prophylaxis SOP - Sturzprophylaxe (27.07.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (27.09.2017) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende, freiheitseinschränkende Maßnahmen (30.09.2017) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care Standard im Aufwachraum (10.10.2017) |
| RM18 |
Discharge management Standard Entlassmanagement (30.09.2017) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
-
| No. | Explanation |
|---|---|
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |