Dealing with risks in patient care
Quality management
Katja Höhne
Qualitätsmanagement
Christianistraße 1
04860 Torgau
Phone:
03421
-772017-
Mail:
ed.uagrot-hkk@enheoh.ajtak
Katja Höhne
Qualitätsmanagement/ Prozessmanagement/ Risikomanagement/ ISMS
Christianistraße 1
04860 Torgau
Phone:
03421
-772017-
Mail:
ed.uagrot-hkk@enheoh.ajtak
Teilnehmer: ärztlicher Direktor/ medizinischer Geschäftsführer, kaufmännischer Geschäftsführer, Pflegedienstleitung, Betriebsrat, Qualitätsmanagement/ Prozessmanagement
Conference frequency: halbjährlich
Risk management
Anna Sprenger
Assistenz der Geschäftsleitung
Christianistraße 1
04860 Torgau
Phone:
03421
-772006-
Mail:
ed.uagrot-hkk@regnerps
Teilnehmer: ärztlicher Direktor/ medizinischer Geschäftsführer, kaufmännischer Geschäftsführer, Pflegedienstleitung, Betriebsrat, Qualitätsmanagement/ Prozessmanagement
Conference frequency: halbjährlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomatrix (23.09.2021) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Dienstanweisung 39 Notfallmanagement (13.09.2021) |
| RM06 |
Fall prophylaxis Expertenstandard Sturz (14.09.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (01.07.2020) |
| RM08 |
Regulated handling of custodial measures PFL DA 09 Fixierung von Patienten (15.09.2021) |
| RM09 |
Regulated handling of occurring malfunctions of devices Prozess Reparatur von Medizingeräten (24.09.2021) |
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM18 |
Discharge management Expertenstandard Entlassungsmanagement (14.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Einführung der OP- Checkliste
| No. | Explanation |
|---|---|
| IF02 |
Internal evaluation of the received reports taken monatlich |
Conference committee
Conference frequency: monatlich
| No. | Explanation |
|---|---|
| EF03 |
KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors) |