Dealing with risks in patient care
Quality management
Frau E. Purps
Qualitäts- und Risikomanagement
Friedrich-Engels-Straße 39
15890 Eisenhüttenstadt
Phone:
03364
-54-3710
Mail:
ed.tshehk@spruP.eklE
Ärztlicher Leiter, Betriebsratsvorsitzende, Personal- und Verwaltungsleiter, Pflegedienstleitung, Qualitäts- und Risikomanagerin, Sachgebietsleiterin Allgemeine Verwaltung sowie die Abteilungsleiterin für Finanz- und Investitionsmanagement.
Conference frequency: quartalsweise
Risk management
E. Purps
Qualitäts- und Risikomanagement
15890 Eisenhüttenstadt
Phone:
03364
-54-3710
Fax: 03364-54-3705
Mail:
ed.tshehk@spruP.eklE
Ärztlicher Leiter, Betriebsratsvorsitzende, Personal- und Verwaltungsleiter, Pflegedienstleitung, Qualitäts- und Risikomanagerin, Sachgebietsleiterin Allgemeine Verwaltung sowie die Abteilungsleiterin für Finanz- und Investitionsmanagement.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM- Portal (01.02.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Krankenhausalarmplan (KAP) (05.06.2020) |
| RM05 |
Pain management SOP Postoperative Schmerztherapie (27.07.2020) |
| RM06 |
Fall prophylaxis QM- Portal (01.02.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM- Portal (17.02.2020) |
| RM08 |
Regulated handling of custodial measures QM- Portal (01.02.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM- Portal (01.02.2019) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings Regelwerk (10.10.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM- Portal (01.02.2019) |
| RM17 |
Standards for recovery and postoperative care Pflegempfehlungen zur Überwachung im Aufwachraum und zur Übernahme von Patienten (01.06.2018) |
| RM18 |
Discharge management QM- Portal (01.02.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
- Regelmäßige Aktualisierung von relevanten Dokumenten - Qualifizierungen im Rahmen der internen Fortbildungsplanung - Regelmäßige Schulungen der Mitarbeiter zu prozessrelevanten SOPs - Durchführung interne Audits
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 22.05.2020 |
| 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: quartalsweise
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |