Dealing with risks in patient care

Quality management

Barbara Kromer

Leiterin Patientenmanagement/ Medizincontrolling

Hallesche Straße 29
06366 Köthen (Anhalt)

Phone: 03496 -52-1127
Mail: ed.tiehdnuseg-soileh@remorK.arabraB

Pflegedienstleitung, Hygienefachkraft, Medizincontrolling

Conference frequency: bei Bedarf

Risk management

Barbara Kromer

Leiterin Patientenmanagement/ Medizincontrolling

Phone: 03496 -52-1127
Fax: 03496-52-1156
Mail: ed.tiehdnuseg-soileh@remorK.arabraB

Pflegedienstleitung, Hygienefachkraft, Medizincontrolling

Conference frequency: bei Bedarf

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM05

Pain management

Expertenstandard Schmerzmanagement in der Pflege (01.06.2020)

RM06

Fall prophylaxis

Beschluss der FG Pflege Sturzprophylaxe (01.02.2023)

RM07

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

Beschluss der FG Pflege Dekubitusprophylaxe (01.11.2021)

RM08

Regulated handling of custodial measures

VA Freiheitsentziehende Maßnahmen (04.06.2018)

RM09

Regulated handling of occurring malfunctions of devices

Verfahrensstandard Umgang mit Produktproblemen (ZD Einkauf) (30.03.2017)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
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

Konzernregelung OP-Sicherheit (27.01.2022)

RM15

Preoperative, complete presentation of necessary findings

Konzernregelung OP-Sicherheit (27.01.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Konzernregelung OP-Sicherheit (27.01.2022)

RM17

Standards for recovery and postoperative care

AA zur postoperativen verlängerten Nachsorge AWR (27.04.2020)

RM18

Discharge management

Expertenstandard Entlassungsmanagement in der Pflege (01.05.2019)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Patientenarmband

No. Explanation
IF01

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

As of: 13.03.2023

IF02

Internal evaluation of the received reports

taken bei Bedarf

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)