Dealing with risks in patient care
Quality management
Manuela Herold
Qualitätsmanagementbeauftragte
Köthener Str. 13
39218 Schönebeck
Phone:
03928
-64-1693
Mail:
ed.soema.kcebeneohcs@dz.eham
Krankenhausdirektor, Pflegedirektorin, Ärztlicher Direktor, Qualitätsmanagementbeauftragte
Conference frequency: monatlich
Risk management
Manuela Herold
Qualitätsmanagementbeauftragte
39202 Schönebeck
Phone:
03928
-64-1693
Fax: 03928-64-1609
Mail:
ed.soema.kcebeneohcs@dz.eham
Krankenhausdirektor, Pflegedirektor, Ärztlicher Direktor, Qualitätsmanagementbeauftragte
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available RM-Richtlinie, Version 2 (09.12.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management RM-Richtlinie, Version 2 (09.12.2020) |
| RM05 |
Pain management RM-Richtlinie, Version 2 (09.12.2020) |
| RM06 |
Fall prophylaxis RM-Richtlinie, Version 2 (09.12.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) RM-Richtlinie, Version 2 (09.12.2020) |
| RM08 |
Regulated handling of custodial measures RM-Richtlinie, Version 2 (09.12.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices RM-Richtlinie, Version 2 (09.12.2020) |
| 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 RM-Richtlinie, Version 2 (09.12.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings RM-Richtlinie, Version 2 (09.12.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups RM-Richtlinie, Version 2 (09.12.2020) |
| RM17 |
Standards for recovery and postoperative care RM-Richtlinie, Version 2 (09.12.2020) |
| RM18 |
Discharge management RM-Richtlinie, Version 2 (09.12.2020) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
AMTS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.12.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: