Dealing with risks in patient care

Quality management

Anke Drechsler

Qualitätsmanagementbeauftragte

Wittgensteiner Straße 1
01896 Pulsnitz

Phone: 035955 -51454-
Mail: ed.tiehdnuseg-demav@relshcerd.ekna

Klinikleitung, QM-Beauftragte

Conference frequency: monatlich

Risk management

Anke Drechsler

Qualitätsmanagementbeauftragte

Phone: 035955 -51454-
Mail: ed.tiehdnuseg-demav@relshcerd.ekna

Klinikleitung, QM-Beauftragte

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagementhandbuch (13.09.2024)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Qualitätsmanagementhandbuch (13.09.2024)

RM05

Pain management

Qualitätsmanagementhandbuch (13.09.2024)

RM06

Fall prophylaxis

Qualitätsmanagementhandbuch (13.09.2024)

RM07

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

Qualitätsmanagementhandbuch (13.09.2024)

RM08

Regulated handling of custodial measures

Qualitätsmanagementhandbuch (13.09.2024)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagementhandbuch (13.09.2024)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM18

Discharge management

Qualitätsmanagementhandbuch (13.09.2024)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

weitere Optimierung der Sturzprävention, Optimierung der Dokumentation u. v. m.

No. Explanation
IF01

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

As of: 31.01.2023

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: bei Bedarf

No. Explanation

Other