Dealing with risks in patient care
Quality management
Franziska Lips
Qualitäts- und Risikomanagement
Paul-Gerhardt-Straße 42-45
06886 Lutherstadt Wittenberg
Phone:
03491
-50-2888
Mail:
ed.dsj@tfitsgp.tnemeganamsteatilauq
Direktorium mit Vertretung aller Bereiche des Krankenhauses
Conference frequency: andere Frequenz
Risk management
Franziska Lips
Qualitäts- und Risikomanagement
Paul-Gerhardt-Straße 42-45
06886 Lutherstadt Wittenberg
Phone:
03491
-50-2888
Mail:
ed.dsj@tfitsgp.tnemeganamsteatilauq
Direktorium mit Vertretung aller Bereiche des Krankenhauses
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available VA "Strategie Klinisches Risikomanagement" (06.08.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA "Medizinisches Notfallmanagement" (23.03.2021) |
| RM05 |
Pain management VA "Strategie Klinisches Risikomanagement" (06.08.2020) |
| RM06 |
Fall prophylaxis VA "Sturzprophylaxe" (17.02.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA "Dekubitusprophylaxe" (10.08.2021) |
| RM08 |
Regulated handling of custodial measures VA "Umgang mit freiheitsentziehenden Maßnahmen" (18.12.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung "Umgang mit Medizinprodukten" (21.12.2021) |
| 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-Checkliste (24.07.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Checkliste (24.07.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Checkliste (24.07.2020) |
| RM17 |
Standards for recovery and postoperative care VA "Postoperatives Komplikationsmanagement" (13.09.2016) |
| RM18 |
Discharge management VA "Entlassungsmanagement" (02.10.2018) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Kontinuierliche Verbesserung sicherheitsrelevanter Prozesse (Beispiel aus 2021: Standardisierung der ITS-Verlegungsberichte für jede Fachabteilung)
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 28.01.2021 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| 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: monatlich
| No. | Explanation |
|---|---|
|
Other |