Dealing with risks in patient care
Quality management
Lysanne Schwanitz
QMB
Unritzstraße 23
09117 Chemnitz
Phone:
0371
-8321060-
Mail:
ed.shk-krd@ennasyl.ztinawhcs
Betriebsleitung Qualitätsmanagementbeauftragter Umweltmanagementbeauftragter Qualitätsbeauftragte der Abteilungen Stabsstellenvertreter Hygienefachkraft
Conference frequency: quartalsweise
Risk management
Falk Wagner
Risikomanagementbeaufragter
Unritzstraße 23
09117 Chemnitz
Phone:
037204
-321000-
Mail:
ed.shk-krd@klaf.rengaw
Geschäftsführer, Betriebsleitung, Risikomanagemntbeauftragter, QMB und weitere Sachverständige oder Beauftragte auf Einladung
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Managementhandbuch (30.07.2019) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Managementhandbuch (30.07.2019) |
| RM05 |
Pain management Managementhandbuch (30.07.2019) |
| RM06 |
Fall prophylaxis Expertenstandard Sturz (01.08.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Expertenstandard Dekubitus (01.08.2019) |
| RM08 |
Regulated handling of custodial measures Managementhandbuch (24.10.2019) |
| RM09 |
Regulated handling of occurring malfunctions of devices Managementhandbuch (30.07.2019) |
| 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 Managementhandbuch (30.07.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings Managementhandbuch (30.07.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Managementhandbuch (30.07.2019) |
| RM17 |
Standards for recovery and postoperative care Managementhandbuch (30.07.2019) |
| RM18 |
Discharge management Managementhandbuch (30.07.2019) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
verstärkte Schulungen bei Anwendungssoftware, bauliche Maßnahmen, Einführung des Patientenidentifikationsarmbandes, Leitfaden zu verschiedenen Risiko-Themen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 31.07.2019 |
| 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 jährlich |
Conference committee
Conference frequency: bei Bedarf
| 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) |