Dealing with risks in patient care

Quality management

Holm Schützka

Qualitätsmanagementbeauftragter

Hospitalstraße 34
01471 Radeburg

Phone: 035208 -88-623
Mail: ed.grubedar-nekinilkhcaf@akzteuhcs

Pflegedienstleitung Therapieleitung Ärztliche Leitung Geschäftsführung

Conference frequency: halbjährlich

Risk management

Bärbel Rieder

Leitung Qualitäts- und Risikomanagement

Phone: 033204 -22-886
Fax: 033204-22-502
Mail: ed.nekinilk-arucer@redeiR

Pflegedienstleitung Therapieleitung Ärztliche Leitung Geschäftsführung

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

Qualitätsmanagementhandbuch (12.02.2019)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Qualitätsmanagementhandbuch (12.02.2019)

RM06

Fall prophylaxis

Qualitätsmanagementhandbuch (12.02.2019)

RM07

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

Qualitätsmanagementhandbuch (12.02.2019)

RM08

Regulated handling of custodial measures

Qualitätsmanagementhandbuch (12.02.2019)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagementhandbuch (12.02.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Fallbesprechungen/ Teambesprechung
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Qualitätsmanagementhandbuch (12.02.2019)

RM18

Discharge management

Qualitätsmanagementhandbuch (12.02.2019)

Fault reporting systems

Conference committee

Conference frequency: halbjährlich

Measures

Kontinuierliche Erarbeitung von Standards auf Grundlage der Richtlinien "Aktionsbündnis Patientensicherheit" etc. Kontinuierliche Überarbeitung des Fort- und Weiterbildungsplans auf wissenschaftlichem Standard

No. Explanation
IF01

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

As of: 05.04.2018

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 jährlich

Conference committee

Conference frequency: