Dealing with risks in patient care
Quality management
Frau Melanie Wiese
Qualitätsmanagement/Risikomanagement
Wachsenburgallee 12
99310 Arnstadt
Phone:
03628
-720-792
Mail:
ed.nra-sm@mq
Klinikleitungssitzung - Kaufm. Vorstand, Med. Vorstand/ CA Orthopädie/ Ärztl. Direktion, CÄ Kinderorthopädie, CÄ Anästhesie, Pflegedienstleitung, Controlling, je nach Bedarf weiteres Personal
Conference frequency: monatlich
Risk management
Melanie Wiese
Qualitätsmanagement/Risikomanagement
Wachsenburgallee 12
99310 Arnstadt
Phone:
03628
-720-792
Fax: 03628-720-266
Mail:
ed.nra-sm@mq
Klinikleitungssitzung - Kaufm. Vorstand, Med. Vorstand/ CA Orthopädie/ Ärztl. Direktion, CÄ Kinderorthopädie, CÄ Anästhesie, Pflegedienstleitung, Controlling, je nach Bedarf weiteres Personal
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available DIN EN ISO 9001:2015 (27.09.2023) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management DIN EN ISO 9001:2015 (27.09.2023) |
| RM05 |
Pain management DIN EN ISO 9001:2015 (27.09.2023) |
| RM06 |
Fall prophylaxis DIN EN ISO 9001:2015 (27.09.2023) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) DIN EN ISO 9001:2015 (27.09.2023) |
| RM08 |
Regulated handling of custodial measures DIN EN ISO 9001:2015 (27.09.2023) |
| 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 DIN EN ISO 9001:2015 (27.09.2023) |
| RM15 |
Preoperative, complete presentation of necessary findings Präop. Fallbesprechung (27.09.2023) |
| RM16 |
Procedure to avoid procedural and patient mix-ups DIN EN ISO 9001:2015 (27.09.2023) |
| RM17 |
Standards for recovery and postoperative care DIN EN ISO 9001:2015 (27.09.2023) |
| RM18 |
Discharge management DIN EN ISO 9001:2015 (27.09.2023) |
Fault reporting systems
Conference committee
Conference frequency: halbjährlich
Measures
- Medikamenten Verabreichung - gesamter Behandlungsprozess - prä-, intra- und postoperative Versorgung - Einarbeitung Mitarbeiter - Notfallmanagement - Mitarbeiter- und Patientensicherheit - Transport und Logistik - Schnittstellen Versorgung
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 19.12.2022 |
| IF02 |
Internal evaluation of the received reports taken halbjährlich |
| 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 |
|---|---|
| EF02 |
CIRS Berlin (Medical Association Berlin, German Medical Association, National Association of Statutory Health Insurance Doctors) |