Dealing with risks in patient care
Quality management
Katja Pampel
Leitung Stabsstelle Qualitäts- und Risikomanagement
Chemnitzer Straße 15
09456 Annaberg-Buchholz
Phone:
0173
-2661930-
Mail:
ed.mukinilksgribegzre@mq
Alle Mitarbeiter der Stabsstelle Qualitäts- und Risikomanagement
Conference frequency: wöchentlich
Risk management
Katja Pampel
Leitung Stabsstelle Qualitäts- und Risikomanagement
09442 Annaberg-Buchholz
Phone:
0173
-2661930-
Mail:
ed.mukinilksgribegzre@mq
Alle Mitarbeiter der Stabsstelle Qualitäts- und Risikomanagement
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM Konzept und Risikomanagementkonzept (01.11.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Einsatz und Evakuierungsplan (30.06.2025) |
| RM05 |
Pain management LL Handlungs-Therapieempfehlung Schmerztherapie (17.01.2024) |
| RM06 |
Fall prophylaxis Standard "Sturzprophylaxe" (20.03.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) u. a. Aromapflegestandard Dekubitusprophylaxe (27.09.2023) |
| RM08 |
Regulated handling of custodial measures Fixierungsordnung (12.03.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagementkonzept (06.11.2024) |
| 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 Arbeitsordnung OP-Saal + Checkliste Patientensicherheit OP (26.08.2025) |
| RM15 |
Preoperative, complete presentation of necessary findings Arbeitsordnung OP-Saal + Checkliste Patientensicherheit OP (26.08.2025) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Arbeitsordnung OP-Saal + Checkliste Patientensicherheit OP (26.08.2025) |
| RM17 |
Standards for recovery and postoperative care Prozessbeschreibung "Anästhesie" (09.08.2024) |
| RM18 |
Discharge management Prozessbeschreibung "Stationäre Entlassung" (24.10.2024) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Korrektur- und Vorbeugemaßnahmen werden bei Bedarf umgesetzt
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.10.2024 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: jährlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |