Dealing with risks in patient care
Quality management
Adina Metzig
Leitung Qualitäts- und klinisches Risikomanagement
Rudolf-Virchow-Straße 2
04552 Borna
Phone:
03433
-21-1521
Mail:
ed.anas@giztem.anida
Qualitätskommission
Conference frequency: quartalsweise
Risk management
Adina Metzig
Leitung Qualitäts- und klinisches Risikomanagement
Rudolf-Virchow-Str. 2
04552 Borna
Phone:
03433
-21-1521
Fax: 03433-21-1078
Mail:
ed.anas@giztem.anida
Qualitätskommission
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Sana Management Handbuch 3.0 (01.07.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Sana Management Handbuch 3.0 (01.07.2022) |
| RM05 |
Pain management Sana Management Handbuch 3.0 (01.05.2020) |
| RM06 |
Fall prophylaxis Sana Management Handbuch 2.0 (01.05.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Sana Management Handbuch 2.0 (01.05.2020) |
| RM08 |
Regulated handling of custodial measures Sana Management Handbuch 2.0 (01.05.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Sana aktive Medizinprodukte betreiben (SAMBA) (01.01.2019) |
| 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 Sana Management Handbuch 2.0 (01.05.2020) |
| RM15 |
Preoperative, complete presentation of necessary findings Sana Management Handbuch 2.0 (01.05.2020) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Sana Management Handbuch 2.0 (01.05.2020) |
| RM17 |
Standards for recovery and postoperative care Sana Management Handbuch 2.0 (01.05.2020) |
| RM18 |
Discharge management Sana Management Handbuch 2.0 (01.05.2020) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Einführung interne Pflegeaudits Einführung Dokumentationsvisiten Einführung Risikomarker im hausinternen KIS (SAP); Ausbau Überwachungseinheit im Herzkatheter-Labor; Kampagne zur verwechslungsfreien Blutentnahme
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.10.2021 |
| IF02 |
Internal evaluation of the received reports taken monatlich |
| 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 |