Dealing with risks in patient care

Quality management

Gunnar Feil

Qualitäts- und Beschwerdemanagement

Am Klinikum 1
16303 Schwedt

Phone: 03332 -53-3105
Mail: moc.soipelksa@lief.g

Geschäftsführung, Pflegedienstdirektion, Chefärzte

Conference frequency: monatlich

Risk management

Gunnar Feil

Qualitäts- und Beschwerdemanagement

Am Klinikum 1
16303 Schwedt/Oder

Phone: 03332 -53-3105
Fax: 03332-53-3109
Mail: moc.soipelksa@lief.g

Geschäftsführung, Pflegedienstdirektion, Chefärzte

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QMH/roXtra (23.03.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

QMH/roXtra (20.05.2021)

RM05

Pain management

QMH/roXtra (13.06.2022)

RM06

Fall prophylaxis

QMH/roXtra (07.01.2021)

RM07

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

QMH/roXtra (13.06.2020)

RM08

Regulated handling of custodial measures

QMH/roXtra (14.09.2020)

RM09

Regulated handling of occurring malfunctions of devices

QMH/roXtra (13.06.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
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

QMH/roXtra (10.06.2022)

RM15

Preoperative, complete presentation of necessary findings

QMH/roXtra (10.06.2022)

RM16

Procedure to avoid procedural and patient mix-ups

QMH/roXtra (10.06.2022)

RM17

Standards for recovery and postoperative care

QMH/roXtra (13.06.2020)

RM18

Discharge management

QMH/roXtra (23.05.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Anpassung der Meldekreise, Bildung zentraler Qualitätszirkel zur Bearbeitung

No. Explanation
IF01

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

As of: 25.07.2022

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 bei Bedarf

Conference committee

Conference frequency: monatlich

No. Explanation

Other

EF14

CIRS Health Care