Dealing with risks in patient care
Quality management
Andrea Schütt
Leitung Qualitätsmanagement
Brunnenstraße 1
29410 Salzwedel
Phone:
0391
-60753-391
Mail:
ed.asl-sulas@tteuhcs.a
Quartalsgespräche
Conference frequency: quartalsweise
Risk management
Uwe Lahnert
ärztlicher Direktor
Brunnenstraße 1
29410 Salzwedel
Phone:
03901
-88-7701
Fax: 03901-88-7709
Mail:
ed.mukinilk-kramtla@trenhal.u
Quartalsgespräche
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Jahresbericht Qualitätsmanagement Jahresbericht Risikomanagement (15.02.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management IRMA - Internes Rettungsmanagement AMK SAW VA 2019/36 (06.03.2019) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement in der Pflege (01.06.2020) |
| RM06 |
Fall prophylaxis AMK LL 2020/15 (20.01.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) AMK VA 2021/45 (11.02.2021) |
| 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 DA Transfusionsordnung zur Vorbereitung und Durchführung von Transfusionen (AMK VA 2019/232) (17.04.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP Checkliste (AMK F 2021/155) (06.12.2021) |
| RM17 |
Standards for recovery and postoperative care LL Standard Aufwachraum (AMK SAW LL 2019/34) (16.05.2022) |
| RM18 |
Discharge management AMK DA 2019/225 (25.10.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Maßnahmen und Ableitungen im SAMS (internes Meldesystem)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.06.2022 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: