Dealing with risks in patient care
Quality management
Sarah Theresa Klaus
Qualitätsmanagementbeauftragte
Bahnhofstraße 36
99610 Sömmerda
Phone:
03634
-52-1532
Mail:
ed.nekinilk-gmk@sualK.S
Geschäftsführung, Ärztlicher Leiter, Pflegedienstleitung, Qualitätsmanagementbauftragte
Conference frequency: quartalsweise
Risk management
Sarah Theresa Klaus
Qualitätsmanagementbeauftragte
Phone:
03634
-52-1532
Fax: 03634-52-1228
Mail:
ed.nekinilk-gmk@sualK.S
Geschäftsführung, Ärztlicher Leiter, Pflegedienstleitung, Qualitätsmanagementbauftragte
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement Handbuch (30.01.2020) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management LL_Notfallmanagement (15.05.2023) |
| RM05 |
Pain management VA_Schmerzmanagement (27.03.2023) |
| RM06 |
Fall prophylaxis SOP Sturzprophylaxe (14.11.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitusprophylaxe (28.02.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA_Einweisung Medizinprodukte (06.04.2021) |
| 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 (22.02.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut (22.02.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP-Statut (22.02.2021) |
| RM17 |
Standards for recovery and postoperative care VA_Anästhesie Aufwachraum (22.02.2021) |
| RM18 |
Discharge management SOP Patientenentlassung (22.05.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Maßnahmenplanung je nach geschildertem Sachverhalt nach Klassifizierung über Risikomatrix.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.07.2022 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: quartalsweise
| 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) |