Dealing with risks in patient care
Quality management
Robert Klemm
Qualitätsbeauftragter
Biedermannstraße 84
04277 Leipzig
Phone:
0341
-3959-5070
Mail:
ed.gizpiel-ke@tnemeganamsteatilauq
Qualitätsmanagement, Ärztlicher Dienst, Pflegedienst, Verwaltung
Conference frequency: monatlich
Risk management
Robert Klemm
Qualitätsbeauftragter
Biedermannstraße 84
04277 Leipzig
Phone:
0341
-3959-5070
Fax: 0341-3959-5079
Mail:
ed.gizpiel-ke@tnemeganamsteatilauq
Qualitätsmanagment, Ärztlicher Dienst, Pflegedienst, Verwaltung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM-Handbuch (14.10.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Notfallmanagement, innerklinischer Notfall, verpflichtende Reanimationsschulungen für Mitarbeiter (18.02.2022) |
| RM05 |
Pain management interdisziplinären Abteilung für Multimodale Schmerztherapie, Schmerzstandards (11.11.2021) |
| RM06 |
Fall prophylaxis Sturzprophylaxe und Risiko-Assessment, Patienteninformation (08.01.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe, Patienteninformation (08.01.2020) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Freiheitsentziehende Maßnahmen (29.05.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisung zum Umgang mit Medizinprodukten (30.03.2023) |
| 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 OP-Organisation (22.04.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Patientenbezogene Konferenz (24.04.2017) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Umgang mit Besonderheiten (19.03.2018) |
| RM17 |
Standards for recovery and postoperative care Abteilungsspezifische Standards (16.08.2022) |
| RM18 |
Discharge management Entlassung (04.07.2018) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
u. a. OP-Checkliste, Prävention von Stürzen und Dekubiti, Mitarbeiterschulungen, Prävention medizinproduktassoziierter Risiken
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 26.02.2016 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |