Dealing with risks in patient care
Quality management
Katja Pampel
Stabsstelle Qualitäts- und Risikomanagement / Datenschutz
Jahnsdorfer Straße 7
09366 Stollberg
Phone:
037296
-53-8085
Mail:
ed.mukinilksgribegzre@lepmap.ajtak
alle Mitarbeiter der Stabsstelle Qualitäts- und Risikomanagement / Datenschutz
Conference frequency: wöchentlich
Risk management
Katja Pampel
Stabsstelle Qualitäts- und Risikomanagement / Datenschutz
Jahnsdorfer Straße 7
09366 Stollberg
Phone:
037296
-53-8085
Fax: 037296-53-103
Mail:
ed.mukinilksgribegzre@lepmap.ajtak
alle Mitarbeiter der Stabsstelle Qualitäts- und Risikomanagement / Datenschutz
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement-Konzept (06.11.2024) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management ZNA-Statut; Alarm- und Einsatzplan (02.10.2024) |
| RM05 |
Pain management u. a. Leitlinie "Handlungs-/Therapieempfehlung Schmerztherapie" (17.01.2024) |
| RM06 |
Fall prophylaxis Standard "Sturzprophylaxe" (20.03.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Risikoerfassung anhand der Braden-Skala - Prophylaxe im Rahmen der Interventionserfassung (05.05.2023) |
| RM08 |
Regulated handling of custodial measures Standard "Umgang mit freiheitsentziehenden Maßnahmen (FEM)/Fixierungen" (27.12.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Risikomanagement-Konzept (06.11.2024) |
| 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 Sicherheitscheckliste OP-Saal (18.07.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Sicherheitscheckliste OP-Saal (18.07.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Sicherheitscheckliste OP-Saal (18.07.2023) |
| RM17 |
Standards for recovery and postoperative care Prozessbeschreibung "Intensivtherapie" (16.06.2023) |
| RM18 |
Discharge management Prozessbeschreibung "Entlassung - Ärztlicher Dienst"; Patienteninformation Entlassungsmanagement (29.08.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Korrektur- und Vorbeugemaßnahmen werden bei Bedarf umgesetzt
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.10.2024 |
| 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 jährlich |
Conference committee
Conference frequency: andere Frequenz
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Association, German Nursing Council, German Medical Association) |