Dealing with risks in patient care
Quality management
Dipl.- Med. Sabine Ermer
Medizinische Geschäftsführung
Dübener Straße 3-9
04509 Delitzsch
Phone:
03423
-667-101
Mail:
ed.hbmg-hcsztiled-hkk@dea
alle Fachbereiche standortübergreifend
Conference frequency: bei Bedarf
Risk management
Robert Müller
Verwaltungsleiter und Prokurist
Dübener Straße 3-9
04509 Delitzsch
Phone:
034202
-767-109
Mail:
ed.hbmg-hcsztiled-hkk@relleum.r
Robert Müller
Verwaltungsleiter
Dübener Straße 3-9
04509 Delitzsch
Phone:
034202
-767-109
Mail:
ed.hbmg-hcsztiled-hkk@relleum.r
alle Fachbereiche standortübergreifend
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available QM/RM-Dokumentation vom (31.12.2019) |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Notfallmanagement als Bestandteil des übergeordneten Katastrophenmanagement vom (31.12.2019) |
| RM05 |
Pain management QM/RM-Dokumentation vom (31.12.2019) |
| RM06 |
Fall prophylaxis QM/RM-Dokumentation vom (31.12.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) QM/RM-Dokumentation vom (31.12.2019) |
| RM08 |
Regulated handling of custodial measures QM/RM-Dokumentation vom (31.12.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices QM/RM-Dokumentation vom (31.12.2019) |
| 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 QM/RM-Dokumentation vom (31.12.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings QM/RM-Dokumentation vom (31.12.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups QM/RM-Dokumentation vom (31.12.2019) |
| RM17 |
Standards for recovery and postoperative care QM/RM-Dokumentation vom (31.12.2019) |
| RM18 |
Discharge management QM/RM-Dokumentation vom (31.12.2019) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
anlassbezogene Auswertung und Festlegung organisatorischer und ablauftechnischer Maßnahmen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.12.2019 |
| 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 bei Bedarf |
Conference committee
Conference frequency: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |