Dealing with risks in patient care
Quality management
Dipl. Inf. Sebastian Junge
Qualitätsmanagementbeauftragter
Karl-Keil-Straße 35
08060 Zwickau
Phone:
0375
-51-2325
Mail:
ed.uakciwz-kbh@egnuj.naitsabes
standortübergreifende Vertreter des Pflegedienstes, des Ärztlichen Dienstes, der Verwaltung
Conference frequency: andere Frequenz
Risk management
Sebastian Junge
Leiter IT-Sicherheit, Projektmanagement, Risikomanagement
Karl-Keil-Straße 35
08060 Zwickau
Phone:
0375
-51-2325
Fax: 0375-51-1502
Mail:
ed.uakciwz-kbh@egnuj.naitsabes
standortübergreifende Vertreter des Pflegedienstes, der Verwaltung und des Ärztlichen Dienstes
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikohandbuch (in Überarbeitung) (02.05.2014) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Risikohandbuch (in Überarbeitung) (02.05.2014) |
| RM05 |
Pain management Empfehlungen perioperative Schmerztherapie (01.03.2023) |
| RM06 |
Fall prophylaxis Handzettel Sturzprophylaxe - Patienteninformation (22.08.2017) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitusprophylaxe (14.01.2020) |
| RM08 |
Regulated handling of custodial measures Pflegestandard - Fixierung (11.11.2021) |
| RM12 |
Use of standardised information sheets |
| RM13 |
Application of standardised surgical check lists |
| RM16 |
Procedure to avoid procedural and patient mix-ups Handlungsanweisung Patientenverwechslung (28.02.2014) |
| RM17 |
Standards for recovery and postoperative care Behandlungsrichtlinie -ANÄ-SOP Aufwachraum (01.09.2023) |
| RM18 |
Discharge management Standard Entlassmanagement (02.10.2019) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Hygienebegehungen, Begehungen durch Abteilung Apotheke, Erregerstatistiken, statistische Untersuchung des Händedesinfektionsmittelverbrauches, Checkliste Patientensicherheit, Patientenarmbänder, Sturz-und Dekubitusprophylaxe, AG Risiko- und Chancenmanagement, etc.
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 19.08.2014 |
| 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 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) |
| EF13 |
DokuPIK (Documentation of Pharmaceutical Interventions in Hospitals at the Federal Association of German Hospital Pharmacists (ADKA) |