Dealing with risks in patient care

Quality management

Anja Schulze

Qualitätsmanagerin

Weinbergstraße 18-19
14469 Potsdam

Phone: 0331 -2777-408
Mail: ed.madstop-nizidemsretla@ezluhcs.a

Geschäftsführer, Verwaltungsleiterin, Chefarzt, Pflegedirektorin, Pflegedienstleiterin, Therapeutische Leiterin, Qualitätsmanagerin

Conference frequency: monatlich

Risk management

Anja Schulze

Qualitätsmanagerin

Weinbergstraße 18-19
14469 Potsdam

Phone: 0331 -2777-408
Fax: 0331-2777-444
Mail: ed.madstop-nizidemsretla@ezluhcs.a

Geschäftsführer, Verwaltungsleiterin, Chefarzt, Pflegedirektorin, Pflegedienstleiterin, Therapeutische Leiterin, Qualitätsmanagerin

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

QM-Handbuch (05.10.2022)

RM02

Regular further education and training measures

RM04

Clinical emergency management

QM-Handbuch (05.10.2022)

RM05

Pain management

QM-Handbuch (05.10.2022)

RM06

Fall prophylaxis

QM-Handbuch (05.10.2022)

RM07

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

QM-Handbuch (05.10.2022)

RM09

Regulated handling of occurring malfunctions of devices

QM-Handbuch (05.10.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Palliativbesprechungen
  • Arbeitsgruppen zu verschiedenen geriatriespezifischen Themen
  • Teambesprechungen
  • Interprofessionelle Fallbesprechungen
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

QM-Handbuch (05.10.2022)

RM18

Discharge management

QM-Handbuch (05.10.2022)

Fault reporting systems

Conference committee

Conference frequency: halbjährlich

Measures

Patientenarmbänder zur Patientenidentifikation für alle Patienten, wöchentliche interprofessionelle Fallbesprechungen, bereichsspezifische Schulungsangebote, Berücksichtigung altersspezifischer Anforderungen und Bedürfnisse bei der Modernisierung des vollstationären Bereiches

No. Explanation
IF01

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

As of: 02.01.2023

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: