Dealing with risks in patient care
Quality management
Andrea Schütt
Qualitätsmanagerin
Puschkinstraße 7
06886 Lutherstadt Wittenberg
Phone:
0391
-60753-391
Mail:
ed.asl-sulas@tteuhcs.a
Krankenhausleitung
Conference frequency: monatlich
Risk management
Antje Möhlig
Ärztliche Direktorin, Chefärztin Allgemeine Psychiatrie
Puschkinstraße 7
06886 Lutherstadt Wittenberg
Phone:
03471
-34-4367
Mail:
ed.asl-sulas@gilheom.a
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 B PS 69 Pflegestandard Sturzprophylaxe (20.03.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) B PS 29 Pflegestandard Dekubitusprophylaxe (09.12.2019) |
| RM08 |
Regulated handling of custodial measures B DA 2021/03 Anordnung Schutzmaßnahmen PsychKG (03.06.2021) |
| 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 B VA 2017/09 Verfahrensanweisung Entlassmanagement (13.11.2017) |
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: