Dealing with risks in patient care
Quality management
Mirko Lezock
Stabsstelle Qualitäts-, Risiko- und Vertragsmanagement
Chemnitzer Straße 15
09456 Annaberg-Buchholz
Phone:
03733
-80-4010
Mail:
ed.mukinilksgribegzre@kcozel.okrim
Alle Mitarbeiter der Stabsstelle Qualitäts-, Risiko- und Vertragsmanagement
Conference frequency: wöchentlich
Risk management
Mirko Lezock
Stabsstelle Qualitäts-, Risiko- und Vertragsmanagement
09442 Annaberg-Buchholz
Phone:
03733
-80-4010
Fax: 03733-80-4008
Mail:
ed.mukinilksgribegzre@kcozel.okrim
Alle Mitarbeiter der Stabsstelle Qualitäts-, Risiko- und Vertragsmanagement
Conference frequency: wöchentlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Weiterentwicklung des Risikomanagements (21.07.2017) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Auslösung Reanimationsalarm (10.02.2015) |
| RM05 |
Pain management Multimodale Schmerztherapie/ Akute und postoperative Schmerztherapie (24.08.2017) |
| RM06 |
Fall prophylaxis Expertenstandard "Sturzprophylaxe in der Pflege" (13.09.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard "Dekubitusprophylaxe in der Pflege" (13.09.2017) |
| RM08 |
Regulated handling of custodial measures Fixierungsordnung (28.02.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Betriebsanweisung Umgang mit Medizinprodukten (01.09.2015) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM14 |
Preoperative summary of predictable critical surgical steps, surgical time and expected blood loss OP-Checkliste (01.08.2016) |
| RM15 |
Preoperative, complete presentation of necessary findings Weiterentwicklung des Risikomanagements (21.07.2017) |
| RM16 |
Procedure to avoid procedural and patient mix-ups gemäß Handlungsempfehlung „Eingriffsverwechslungen in der Chirurgie“ des Aktionsbündnis Patientensicherheit (01.01.2006) |
| RM17 |
Standards for recovery and postoperative care Anästhesiestandards (01.08.2018) |
| RM18 |
Discharge management gemäß 2. Änderungsvereinbarung zum Rahmenvertrag über das Entlassmanagement nach § 39 Abs. 1a Satz 9 SGB V (12.12.2018) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
z.B. Patientenidentifikationsarmbänder, Weglaufschutzsystem von Stationstüren
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.10.2022 |
| IF02 |
Internal evaluation of the received reports taken bei Bedarf |
| 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: jährlich
| 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) |
| EF13 |
DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA) |