Dealing with risks in patient care
Quality management
Andrea Schütt
Leitung Qualitätsmanagement
Emil-Kraepelin-Straße 6
39576 Hansestadt Stendal
Phone:
0391
-60753-391
Mail:
ed.asl-sulas@tteuhcs.a
Krankenhausleitung
Conference frequency: monatlich
Risk management
Michaela Poley
Ärztliche Direktorin
Emil-Kraepelin-Straße 6
39576 Hansestadt Stendal
Phone:
039325
-70-2101
Fax: 039325-70-2102
Mail:
ed.asl-sulas@yelop.m
Krankenhausleitung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Jahresbericht Qualitätsmanagement, Jahresbericht Risikomanagement (24.01.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Jahresbericht Qualitätsmanagement, Jahresbericht Risikomanagement (24.01.2023) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement in der Pflege (01.06.2020) |
| RM06 |
Fall prophylaxis U ArA 2019/13 Sturzprophylaxe, U VA 2019/14 Verfahrensregel zur Sturzprophylaxe - Erläuterungen (26.07.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) U VA 2018/27 Dekubitusprophylaxe (25.02.2022) |
| RM08 |
Regulated handling of custodial measures U DA 2018/36 Anordnung und Durchführung freiheitsentziehender Maßnahmen (12.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Jahresbericht Qualitätsmanagement, Jahresbericht Risikomanagement (24.01.2023) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM18 |
Discharge management U VA 2017/14 Komplexes Entlassmanagement (12.04.2023) |
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: 09.10.2023 |
| 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: