Dealing with risks in patient care
Quality management
Dipl.-Kauffrau Ines Siebert
Leitung Abteilung Qualitätsmanagement
Auenweg 38
06847 Dessau-Roßlau
Phone:
0340
-501-1820
Mail:
ed.uassed-mukinilk@trebeis.seni
Verwaltungsdirektion, Assistenz der Betriebsleitung, Qualitätsmanagement
Conference frequency: wöchentlich
Risk management
Frances Sachtler-Lenze
Interne Revision
Phone:
0340
-501-1294
Mail:
ed.uassed-mukinilk@eznel-relthcas.secnarf
Verwaltungsdirektion, Assistenz der Betriebsleitung, Interne Revision
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available OA Handbuchsystem (31.05.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management OA Medizinische Notfälle (10.10.2020) |
| RM05 |
Pain management AA Stationäre Schmerztherapie; AA Tumorschmerztherapie; OA Perioperative Schmerztherapie; LL Systemische Akutschmerztherapie (06.10.2022) |
| RM06 |
Fall prophylaxis AA Sturzprophylaxe; OA Vorgehen bei Unfall eines Patienten (31.05.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe; OA Wundversorgung (26.07.2022) |
| RM08 |
Regulated handling of custodial measures OA Freiheitsentziehende Maßnahmen (24.06.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices OA Medizinprodukte (29.03.2023) |
| 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 OA Ablauforganisation OP-Bereiche (11.11.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings OA Ablauforganisation OP-Bereiche (11.11.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OA Stationäre Aufnahme eines Patienten (31.03.2022) |
| RM17 |
Standards for recovery and postoperative care LL Aufwachraum (15.07.2021) |
| RM18 |
Discharge management OA Entlassmanagement für stationäre Patienten (31.03.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Klinikumsübergreifende und dezentrale Verbesserungsmaßnahmen in verschiedenen Bereichen und Kliniken.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.07.2022 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
Conference committee
Conference frequency: