Dealing with risks in patient care
Quality management
Dipl.-Ing. oec. Annette Liedtke
Kaufmännische Direktorin
Quetziner Straße 88
19395 Plau am See
Phone:
038735
-87-101
Mail:
ed.nilcidem@ektdeil.ettenna
Ärztlicher Direktor, Kaufmännische Direktorin, Qualitätsmanagementbeauftragte, Chefärzte, Fachbereichsleiter
Conference frequency: quartalsweise
Risk management
Andreas Bitsch
Ärztlicher Direktor und Chefarzt für Neurologie und Stroke Unit
Phone:
038735
-87-0
Mail:
ed.nilcidem@hcstib.saerdna
Ärztlicher Direktor, Kaufmännische Direktorin, Qualitätsmanagementbeauftragte, Chefärzte, Fachbereichsleiter
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagement (21.06.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Risikomanagement (21.06.2023) |
| RM05 |
Pain management RM 05 Schmerzmanagement in der Pflege (21.06.2023) |
| RM06 |
Fall prophylaxis Sturzprophylaxe (14.10.2024) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (15.03.2023) |
| RM08 |
Regulated handling of custodial measures Vorgehen bei Patienten mit Hinlauftendenz (15.03.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices MEDICLIN Handbuch zur Umsetzung der Medizinprodukte-Betreiberverordnung (12.04.2023) |
| 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 WHO Checkliste (05.10.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings WHO-Checkliste, (05.10.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups WHO-Checkliste (05.10.2023) |
| RM17 |
Standards for recovery and postoperative care Risikomanagement (21.06.2023) |
| RM18 |
Discharge management Entlassungsmanagement (21.06.2023) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einführung Qualitätsverträge Endoprothetik mit verschiedenen Krankenkassen Inhouse-Ausbildung Krankenpflegehelfer
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 12.10.2021 |
| 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: