Dealing with risks in patient care
Quality management
Dr. med. Claudia Wetzel
Qualitätsmanagementbeauftragte
Röntgenstraße 2
08529 Plauen
Phone:
03741
-4913298-
Mail:
ed.tiehdnuseg-soileh@leztew.aidualc
Geschäftsführer, Ärztlicher Direktor, Pflegedirektorin, Qualitätsmanagementbeauftragte
Conference frequency: halbjährlich
Risk management
Kathleen Buhle-Schäfer
Ltr. Qualitätssicherung
Phone:
493741
-49-14422
Mail:
ed.tiehdnuseg-soileh@refeahcS-elhuB.neelhtaK
Kathleen Buhle-Schäfer
Ltr. Qualitätssicherung
Phone:
493741
-49-14422
Mail:
ed.tiehdnuseg-soileh@refeahcS-elhuB.neelhtaK
Geschäftsführer, Ärztlicher Direktor, CIRS-Verantwortliche, Pflegedirektorin, Datenschutzbeauftragte
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Critical Incident Reporting Systeme (CIRS) (19.04.2022) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmanagement (15.05.2019) |
| RM05 |
Pain management Handlungsempfehlung Schmerzmanagement in der Pflege bei akuten und chronischen Schmerzen (01.02.2020) |
| RM06 |
Fall prophylaxis Beschluss der FG Pflege Sturzprophylaxe (25.09.2023) |
| 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 (01.11.2021) |
| RM08 |
Regulated handling of custodial measures DA-PS-01 (04.10.2023) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensstandard Umgang mit Produktproblemen (Handbuch Biomedizin) (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 |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss Konzernregelung OP-Sicherheit (27.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Konzernregelung OP-Sicherheit (27.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Konzernregelung OP-Sicherheit (27.01.2022) |
| RM17 |
Standards for recovery and postoperative care DA-ANÄ-04 Verfahrensanweisung zur Freigabe der postoperativen Verlegung von Patienten von der postoperativen Überwachungsstation (28.09.2023) |
| RM18 |
Discharge management AA-PDL-01Entlassungsmanagement im SAP i.s.h med (01.04.2019) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
-
| 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 quartalsweise |
| 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: quartalsweise
| No. | Explanation |
|---|---|
|
Other |