Dealing with risks in patient care

Quality management

Scheibe Manuela

Qualitätsmanagement

Nordhäuser Straße 74
99089 Erfurt

Phone: 0361 -781-4810
Mail: ed.tiehdnuseg-soileh@ebiehcS.aleunaM

Conference frequency:

Risk management

Christine Tischer

Mitarbeiterin Ärztliches Direktorat

Phone: 0361 -781-2001
Fax: 0361-781-1002
Mail: ed.tiehdnuseg-soileh@rehcsit.enitsirhc

Ärztlicher Direktor, Geschäftsführer

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Standard Operating Procedure - SOP’s im Notfallzentrum (07.07.2024)

RM05

Pain management

Beschluss der Fachgruppe Pflege - Schmerzmanagement in der Pflege (Akut + Chronisch) (01.09.2024)

RM06

Fall prophylaxis

Beschluss der FG-Pflege - Sturzprophylaxe (01.05.2025)

RM07

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

Beschluss der FG Pflege - Dekubitusprophylaxe & Dekubituserfassung (01.05.2025)

RM08

Regulated handling of custodial measures

Umgang mit freiheitsentziehenden Maßnahmen (28.01.2025)

RM09

Regulated handling of occurring malfunctions of devices

FHS-D Medizintechnik Gesellschaften online im Intranet | Helios ZD / Medizintechnik (10.10.2025)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Andere
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

Konzernregelung OP-Sicherheit - Chekliste PRÄ (01.12.2024)

RM15

Preoperative, complete presentation of necessary findings

Konzernregelung OP-Sicherheit (20.01.2025)

RM16

Procedure to avoid procedural and patient mix-ups

Konzernregelung OP-Sicherheit (20.01.2025)

RM17

Standards for recovery and postoperative care

PACU Management (09.08.2024)

RM18

Discharge management

Checkliste zur Entlassung Pflege – Sozialdienst Letzte Aktualisierung (04.03.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

monatliche Mortalitäts- und Morbiditätskonferenzen für ärztlichen und pflegerischen Dienst

No. Explanation
IF01

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

As of: 27.04.2023

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 monatlich

Conference committee

Conference frequency: bei Bedarf

No. Explanation

Other