Dealing with risks in patient care

Quality management

B.Sc. Angewandte Gesundheitswissenschaften Therese Al-Kuhaly

Qualitätsmanagementbeauftragte

Gerorg-Schwarz Straße 49
04177 Leipzig

Phone: 0341 -444-5838
Mail: ed.nocaide@ylahuk-la.esereht

Geschäftsführung, theologische Geschäftsführung, Pflegedirektion, ärztliche Leitung

Conference frequency: andere Frequenz

Risk management

Therese Al-Kuhaly

Qualitätsmanagementbeauftragte

Georg-Schwarz-Str. 49
04177 Leipzig

Phone: 0341 -444-5838
Fax: 0341-444-3513
Mail: ed.nocaide@ylahuk-la.esereht

Geschäftsführung, theologische Geschäftsführung, Pflegedirektion, ärztliche Leitung

Conference frequency: andere Frequenz

Risk management instruments and measures

No. Explanation
RM01

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

Risikomanagementhandbuch (18.07.2016)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Schockraumbehandlung (15.03.2018)

RM05

Pain management

SOP postoperative Schmerztherapie bei Erwachsenen (16.01.2019)

RM06

Fall prophylaxis

Sturzmanagement in der Pflege (18.03.2019)

RM07

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

Dekubitus - VA_Dekubitus nach Expertenstandard nach DNQP 2010 (19.06.2015)

RM08

Regulated handling of custodial measures

VA Patientensicherheit und Fixierung (29.10.2015)

RM09

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medizintechnik (11.04.2018)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
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 Sicherheitscheckliste (26.07.2019)

RM15

Preoperative, complete presentation of necessary findings

OP Sicherheitscheckliste (26.07.2019)

RM16

Procedure to avoid procedural and patient mix-ups

OP Sicherheitscheckliste (26.07.2019)

RM17

Standards for recovery and postoperative care

Anästhesie - PB_Narkoseausleitung und Übernahme Aufwachraum (16.02.2017)

RM18

Discharge management

VA Entlassmanagement (12.09.2017)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Anpassung von Prozessen

No. Explanation
IF01

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

As of: 01.03.2022

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:

No. Explanation

Other