Dealing with risks in patient care
Quality management
Herr Sebastian Heyer
Qualitätsmanagementbeauftragter
Neucoswiger Str. 21
01640 Coswig
Phone:
03523
-65-183
Mail:
ed.giwsoc-suahneknarkhcaf@reyeh
Pflege Ärztlicher Bereich Verwaltung
Conference frequency: quartalsweise
Risk management
Bärbel Rieder
Leitung Stabstelle Qualitäts- und Risikomanagement
Phone:
033204
-22-375
Fax: 033204-22-502
Mail:
ed.nekinilk-arucer@redeir
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch (01.02.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Qualitätsmanagementhandbuch (01.02.2020) |
| RM05 |
Pain management Qualitätsmanagementhandbuch (01.02.2020) |
| RM06 |
Fall prophylaxis Qualitätsmanagementhandbuch (01.02.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Qualitätsmanagementhandbuch (01.02.2020) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Freiheitsentziehende Maßnahmen (18.08.2018) |
| RM09 |
Regulated handling of occurring malfunctions of devices Qualitätsmanagementhandbuch (01.02.2020) |
| 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 Qualitätsmanagementhandbuch (01.02.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Qualitätsmanagementhandbuch (01.02.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Qualitätsmanagementhandbuch (01.02.2020) |
| RM17 |
Standards for recovery and postoperative care Qualitätsmanagementhandbuch (01.02.2020) |
| RM18 |
Discharge management Qualitätsmanagementhandbuch (01.02.2020) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
Kontinuierliche Erarbeitung von Standards auf Grundlage der Richtlinien "Aktionsbündnis Patientensicherheit" etc. Kontinuierliche Überarbeitung des Fort- und Weiterbildungsplans auf wissenschaftlichem Standard
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.02.2020 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| 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: andere Frequenz
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |