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
|
| 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: