Dealing with risks in patient care
Quality management
Dipl. Pflegewirtin (FH) Manuela Lehmann
Pflegedirektorin und Qualitätsmanagementbeauftragte
Leipziger Straße 50
03048 Cottbus
Phone:
0355
-480-1014
Mail:
ed.anas@nnamhel.aleunam
Die Qualitätskommission besteht aus der Klinikleitung und den Chefärzten der einzelnen Abteilungen.
Conference frequency: monatlich
Risk management
Manuela Lehmann
Pflegedirektorin und Qualitätsmanagementbeauftragte
Phone:
0355
-480-1014
Fax: 0355-480-1001
Mail:
ed.anas@nnamhel.aleunam
Die Qualitätskommission besteht aus der Klinikleitung und den Chefärzten der einzelnen Abteilungen.
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagement-Handbuch des Sana-Herzzentrum Cottbus (22.09.2023) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management VA Medizinisches Notfallmanagement (09.09.2022) |
| RM05 |
Pain management VA Schmerztherapie (17.11.2022) |
| RM06 |
Fall prophylaxis VA Sturzprophylaxe (17.11.2022) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) VA Dekubitusprophylaxe (04.08.2022) |
| RM08 |
Regulated handling of custodial measures VA Freiheitsentziehende Maßnahmen (17.11.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices VA Funktionsstörungen bei lebenserhaltenden Geräten (17.11.2022) |
| 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 OP-Sicherheitscheckliste (04.08.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Sicherheitscheckliste (04.08.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups VA Prävention von Patientenverwechslungen (04.08.2022) |
| RM17 |
Standards for recovery and postoperative care Behandlungsstandard Anästhesie und SOP Intensivstation (15.09.2022) |
| RM18 |
Discharge management VA Entlassmanagement (17.11.2022) |
Fault reporting systems
Conference committee
Conference frequency: andere Frequenz
Measures
- CIRS-Informationsbroschüre für Mitarbeiter - Nutzung eines klinischen Risikoauditssystems (SicherheitsInformationssystem (SISy) – Selbst-/Fremdbewertung) - Teilnahme CIRS-medical
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 06.01.2020 |
| 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: andere Frequenz
| No. | Explanation |
|---|---|
|
Other |