Dealing with risks in patient care
Quality management
Frau Stephanie Krieg
pflegerisches Qualitätsmanagement
Naumburger Straße 76
06667 Weißenfels
Phone:
03443
-401858-
Mail:
moc.soipelksa@geirk.s
Geschäftsführung, Ärztliche Direktorin, Pflegedirektor, Personalleiter, Betriebsrat, Qualitätsmanagement/med. Qualität, Abteilungsleitungen wie Chefärzt:innen
Conference frequency: wöchentlich
Risk management
Hannes Steinborn
Klinikmanager
06667 Weißenfels
Phone:
03443
-401802-
Mail:
moc.soipelksa@nrobniets.h
Konzerngeschäftsführung, Geschäftsführung, Ärztliche Direktorin, Pflegedirektor, Personalleiter, Betriebsrat, Qualitätsmanagement/med. Qualität, Abteilungsleitungen wie Chefärzt:innen
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Klinisches Risikomanagement (23.03.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Alarm- und Einsatzplan (01.08.2024) |
| RM05 |
Pain management Expertenstandard Schmerzmanagement (01.12.2024) |
| RM06 |
Fall prophylaxis EXP SOP Sturzprophylaxe (01.12.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) EXP SOP 1 Dekubitusprophylaxe und-therapie (01.12.2024) |
| RM08 |
Regulated handling of custodial measures AKG-V-VA-58_ Umgang mit freiheitsentziehenden Maßnahmen_V01-0 (01.12.2024) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (28.01.2022) |
| 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 Fragebogen zur Ermittlung eines erhöhten Blutungsrisikos (12.04.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzept Klinisches Risikomanagement (23.03.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups AKG Vermeidung einer Eingriffsverwechslung (15.07.2024) |
| RM17 |
Standards for recovery and postoperative care Verfahrensanweisung Postoperative Überwachung von Patienten (15.08.2023) |
| RM18 |
Discharge management AKG-KGF-VA-Entlassmanagement (11.06.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Projekt: STOP-INJEKT CHECK!, Optimierung der Zählkontrollen im OP, Einführung der Chargendokumentation der Instrumente zur Gewährleistung der Rückverfolgbarkeit, Einführung digitaler Konsile
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 11.01.2023 |
| 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 jährlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |