Dealing with risks in patient care
Quality management
Herr Thomas Prickartz
Leiter Qualitätsmanagement
Friedrichstraße 41
01067 Dresden
Phone:
0351
-480-3065
Mail:
ed.nedserd-mukinilk@mq
Das Lenkungsgremium setzt sich neben den Mitarbeitern des zentralen Qualitätsmanagements aus QM-Beauftragten Mitarbeitern verschiedener Abteilungen/Kliniken zusammen. Das Gremium ist hierarchieübergreifend und interdisziplinär besetzt.
Conference frequency: quartalsweise
Risk management
Thomas Prickartz
Leiter Qualitätsmanagement
01067 Dresden
Phone:
0351
-480-3065
Fax: 0351-480-4271
Mail:
ed.nedserd-mukinilk@mq
CIRS-Team mit geschulten Mitarbeitern und interdisziplinärer Besetzung. Die Einbeziehung der Krankenhausleitung erfolgt bei Bedarf.
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Handbuch zum klinischen Risikomanagement (01.07.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Handbuch zum klinischen Risikomanagement (01.07.2022) |
| RM05 |
Pain management Teil der Pflegestandards (01.03.2022) |
| RM06 |
Fall prophylaxis Teil der Pflegestandards (17.01.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Teil der Pflegestandards (17.01.2022) |
| RM08 |
Regulated handling of custodial measures Teil der Pflegestandards (01.03.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Handbuch zum klinischen Risikomanagement (01.07.2022) |
| 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 Handbuch zum klinischen Risikomanagement (01.07.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Handbuch zum klinischen Risikomanagement (01.07.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Handbuch zum klinischen Risikomanagement (01.07.2022) |
| RM17 |
Standards for recovery and postoperative care Handbuch zum klinischen Risikomanagement (01.07.2022) |
| RM18 |
Discharge management Handbuch zum Qualitäts- und klinischen Risikomanagement (01.07.2022) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Verbesserungsmaßnahmen werden mindestens einmal im Quartal bei Bedarf abgeleitet.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 30.06.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| IF03 |
Training of employees in handling the error reporting system and in implementing the findings from the error reporting system taken quartalsweise |
Conference committee
Conference frequency: quartalsweise
| No. | Explanation |
|---|---|
| EF01 |
CIRS AINS (Professional Association of German Anaesthetists and German Society for Anaesthesiology and Intensive Care Medicine, German Medical Association, National Association of Statutory Health Insurance Doctors) |
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |