Dealing with risks in patient care

Quality management

Nicole Denechaud

Qualitätsbeauftragter

Kutusowstraße 70
04808 Wurzen

Phone: 03437 -9378-1061
Mail: ed.ltm-hk@duahcened.elocin

Geschäftsleitung

Conference frequency: quartalsweise

Risk management

Kutusowstraße 70
04808 Wurzen

Phone: --

Geschäftsleitung

Conference frequency: jährlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Qualitätsmanagement (10.10.2019)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Notfall auf Station (09.07.2019)

RM05

Pain management

Schmerzmanagement (24.08.2018)

RM06

Fall prophylaxis

Sturzrisikoeinschätzung und Maßnahmen (01.03.2018)

RM07

Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”)

Dekubitusprophylaxe (25.08.2020)

RM08

Regulated handling of custodial measures

Freiheitsentziehende Maßnahmen (20.05.2019)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagement (01.09.2017)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätsmanagement
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

Qualitätsmanagement (20.03.2019)

RM15

Preoperative, complete presentation of necessary findings

Checkliste (23.04.2019)

RM16

Procedure to avoid procedural and patient mix-ups

Checkliste (23.04.2019)

RM17

Standards for recovery and postoperative care

Qualitätsmanagement (01.09.2017)

RM18

Discharge management

Pflegeüberleitung (01.08.2017)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Regelmäßige Auswertung im Zuge der Teambesprechungen. Maßnahmen werden bei Notwendigkeit festgelegt.

No. Explanation
IF01

Documentation and procedural instructions for handling the error reporting system are available

As of: 14.05.2017

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 bei Bedarf

Conference committee

Conference frequency: quartalsweise

No. Explanation
EF02

CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors)