Dealing with risks in patient care
Quality management
Miriam Haubold
Qualitätsmanagementbeauftragte
Dobenaustraße 130
08523 Plauen
Phone:
03741
-172-158
Mail:
ed.nocaide@dlobuah.mairim
Ärztliche Direktion, Pflegedirektion, Betriebsdirektion, QM
Conference frequency: quartalsweise
Risk management
Basel Al Kadah
Chefarzt
Dobenaustraße 130
08523 Plauen
Phone:
03741
-172-201
Fax: 03741-172-218
Mail:
ed.nocaide@hadakla.lesab
Ärztliche Direktion, Pflegedirektion, Betriebsdirektion, QM
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available AMD Risikomanagementhandbuch (01.01.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Reanimationsrichtlinien (16.03.2021) |
| RM05 |
Pain management VA Schmerzmanagement (18.08.2021) |
| RM06 |
Fall prophylaxis Verfahrensanweisung Sturzmanagement (06.05.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) KBP VA Dekubitus (01.02.2022) |
| RM08 |
Regulated handling of custodial measures AMD Risikomanagementhandbuch (01.01.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices AGA AMTech Handbuch Medizintechnik (27.07.2021) |
| 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 OP-Statut, Rahmenplanung (16.04.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings AMD Risikomanagementhandbuch (01.01.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups AGA Vermeidung von Eingriffs- und Seitenverwechslungen (15.07.2022) |
| RM17 |
Standards for recovery and postoperative care Standards für Aufwachraum, Entlassungskriterien Aufwachraum (01.03.2021) |
| RM18 |
Discharge management KBP VA Entlass Management (04.11.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einsatz von Patient:innenidentifikationsarmbändern, um Verwechslungen zu vermeiden; Frühwarnsystem Critical Incident Reporting System (CIRS) zur Schadensvermeidung; Einsatz von Sicherheitschecklisten im OP; Umsetzung des AGA Hygieneplans; Screening-Vorgaben für Patient:innen mit multiresistenten Erregern; Teilnahme an der "Aktion Saubere Hände" mit Zertifikat Bronze
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 23.05.2022 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
|
Other |