Dealing with risks in patient care
Quality management
B.A. Steffi Schlötzer
Leitung Qualitätmanagement
Gerhart-Hauptmann-Straße 35
39108 Magdeburg
Phone:
0391
-67-21882
Mail:
ed.ugvo.dem@tnemegnamsteatilauq
Klinikumsvorstand, Qualitätsmanagement, Geschäftsbereichsleiter bei Bedarf
Conference frequency: bei Bedarf
Risk management
Freia Rebohm
Abteilungsleitung Risikomanagement
Phone:
0391
-67-25159
Mail:
ed.ugvo.dem@mhober.aierf
Freia Rebohm
Abteilungsleitung Risikomanagement
Phone:
0391
-67-25159
Mail:
ed.ugvo.dem@mhober.aierf
Conference frequency:
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Qualitätsmanagementhandbuch des Universitätsklinikums Magdeburg (12.07.2017) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM05 |
Pain management Standard Schmerzmanagement (01.07.2022) |
| RM06 |
Fall prophylaxis Standard zur Sturzprophylaxe (04.05.2020) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprohylaxe (01.03.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Dienstanweisung zum Umgang mit Vorkommnissen bei Medizinprodukten (14.09.2020) |
| 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 Teil der zentralen OP-Sicherheits-Checkliste (18.06.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings Teil der zentralen OP-Sicherheitscheckliste (18.06.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Teil der zentralen OP-Sicherheitscheckliste (18.06.2021) |
| RM18 |
Discharge management Entlassmanagement (01.03.2022) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Zentral geleitetes CIRS-Verfahren zur Erfassung aller Fehler und Beinahefehler
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 29.07.2022 |
| 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 bei Bedarf |
Conference committee
Conference frequency: