Dealing with risks in patient care
Quality management
Daniela Thate
Medizincontrolling, Externe stationäre Qualitätssicherung, Erstellung Qualitätsbericht
Kreiskrankenhaus 4
39387 Oschersleben / OT Neindorf
Phone:
03921
-96-1070
Mail:
ed.tiehdnuseg-soileh@etahT.aleinaD
Klinikleitung, Ärztlicher Dienst, Pflegerischer Dienst, Medizincontrolling, Unternehmenskommunikation, ZD Medizin und ggf. weitere
Conference frequency: monatlich
Risk management
Gabi Pomme
Risikomanagement-Verantwortliche
Phone:
03949
-935-404
Fax: 03949-935-202
Mail:
ed.tiehdnuseg-soileh@emmop.ibag
Krankenhausleitung , interdisziplinäre Berufsgruppenübergreifende CIRS-Bearbeitungsgruppe in Zusammenarbeit mit dem Helios Zentraldienst Risikomanagement und Versicherung
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.09.2019) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (01.02.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021) |
| RM08 |
Regulated handling of custodial measures Freiheitsentziehende Maßnahmen (01.07.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (29.05.2015) |
| 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 Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM18 |
Discharge management Ablauforganisation Entlassmanagement (01.10.2017) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
bisher noch kein Handlungsbedarf
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.11.2016 |
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |