Dealing with risks in patient care
Quality management
Maik Schischko
Leitung Qualitäts- und Risikomanagement
Von-Guttenberg-Str. 11
97616 Bad Neustadt a. d. Saale
Phone:
09771
-66-26139
Mail:
ed.sen-supmac@okhcsihcS.kiaM
Klinikleitungssitzung: Geschäftsführende Direktion, Pflegedirektion, Chefärzte, bei Bedarf weitere wie z.B. Technik, Medizintechnik etc. Lenkungsgruppe Qualitäts- und Risikomanagement: Geschäftsführende Direktion, Ärztlicher Direktor, Pflegedirektion, Betriebsrat, Zentrumssprecher.
Conference frequency: quartalsweise
Risk management
Hannah Gilles
Geschäftsführende Direktorin
Phone:
09771
-66-26004
Fax: 09771-66-29601
Mail:
ed.sen-supmac@gnutielstfeahcseg
Klinikleitungssitzung: Geschäftsführende Direktion, Pflegedirektion, Chefärzte, bei Bedarf weitere wie z.B. Technik, Medizintechnik etc. Lenkungsgruppe Qualitäts- und Risikomanagement: Geschäftsführende Direktion, Ärztlicher Direktor, Pflegedirektion, Betriebsrat, Zentrumssprecher.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available digitales QM-Handbuch (31.12.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management digitales QM-Handbuch vom (31.12.2023) |
| RM05 |
Pain management digitales QM-Handbuch vom (31.12.2023) |
| RM06 |
Fall prophylaxis digitales QM-Handbuch vom (31.12.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) digitales QM-Handbuch vom (31.12.2023) |
| RM08 |
Regulated handling of custodial measures digitales QM-Handbuch vom (31.12.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices digitales QM-Handbuch vom (31.12.2023) |
| 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 digitales QM-Handbuch vom (31.12.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings digitales QM-Handbuch vom (31.12.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups digitales QM-Handbuch vom (31.12.2023) |
| RM17 |
Standards for recovery and postoperative care digitales QM-Handbuch vom (31.12.2023) |
| RM18 |
Discharge management digitales QM-Handbuch vom (31.12.2023) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Ableitung von Maßnahmen aus CIRS-Meldungen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2023 |
| 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: jährlich
| No. | Explanation |
|---|---|
|
Other |