Dealing with risks in patient care
Quality management
Miriam Haubold
Qualitätsmanagementbeauftragte
Zeisigwaldstraße 101
09130 Chemnitz
Phone:
0371
-430-1038
Mail:
ed.nocaide@dlobuah.mairim
Geschäftsführung, Pflegedirektion, ärztliche Direktion, QM
Conference frequency: quartalsweise
Risk management
Peter Wolf
ärztlicher Direktor
Zeisigwaldstraße 101
09130 Chemnitz
Phone:
0371
-430-1236
Fax: 0371-430-1204
Mail:
ed.nocaide@flow.retep
Geschäftsführung, Pflegedirektion, ärztliche Direktion, QM
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (01.01.2020) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Medizinisches Notfallmanagement (27.03.2023) |
| RM05 |
Pain management Verfahrensanweisung Schmerzmanagement in der Pflege (26.06.2023) |
| RM06 |
Fall prophylaxis VA Sturzmanagement (18.03.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Verfahrensanweisung Dekubitusmanagement (21.02.2011) |
| RM08 |
Regulated handling of custodial measures Verfahrensanweisung Patientensicherheit und Fixierung (28.02.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices AGA AMTech Handbuch Medizintechnik (01.07.2021) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut (19.03.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Empfehlungen für Patientensicherheit + OP-Statut (19.03.2021) |
| RM17 |
Standards for recovery and postoperative care Standards und Checklisten Aufwachraum (27.03.2023) |
| RM18 |
Discharge management Verfahrensanweisung Entlassmanagement (01.05.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
CIRS
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.09.2023 |
| 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 bei Bedarf |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
|
Other |