Dealing with risks in patient care

Quality management

Ulrike Schulze

Qualitätssicherung

Gebrüder-Grimm-Straße 18
02977 Hoyerswerda

Phone: 03585 -453-1417
Mail: ed.neshcas.sms.rghks@ezluhcS.ekirlU

Krankenhausleitung: Verwaltungsdirektion Ärztliche Direktion Pflegedirektion

Conference frequency: quartalsweise

Risk management

Ulrike Schulze

Qualitätssicherung

Gebrüder-Grimm-Straße 18
02977 Hoyerswerda

Phone: 03585 -453-1417
Fax: 03585-453-2039
Mail: ed.neshcas.sms.rghks@ezluhcS.ekirlU

Mitglieder der CIRS-Gruppe sind Mitarbeiter des Pflege- und Erziehungsdienstes und Mitarbeiter des ärztlichen Dienstes und QM.

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Risikostrategie (11.01.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Konzept (13.11.2019)

RM05

Pain management

Konzept Multimodale Schmerztherapie (20.11.2020)

RM06

Fall prophylaxis

Sturzprophylaxe (07.09.2021)

RM07

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

Standard vom (26.07.2021)

RM08

Regulated handling of custodial measures

Dienstanweisung (15.01.2020)

RM09

Regulated handling of occurring malfunctions of devices

Ungeplante Durchführung von Instandhaltungsmaßnahmen (04.06.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
RM12

Use of standardised information sheets

RM18

Discharge management

Dokument vom (25.05.2021)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Verbesserung der Patientensicherheit

No. Explanation
IF01

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

As of: 14.01.2021

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: