Dealing with risks in patient care
Quality management
Michael Schmidt
Krankenhausdirektor
Wendstraße 31
39576 Stendal
Phone:
03931
-66-1012
Mail:
ed.nekinilk-retinnahoj.lds@suahneknarK
Krankenhausdirektor, Ärztlicher Direktor, Kaufmännische Direktorin, Pflegedirektorin und Qualitätsmanagement-Beauftragter
Conference frequency: monatlich
Risk management
Michael Schmidt
Krankenhausdirektor
Phone:
03931
-66-1012
Fax: 03931-66-7112
Mail:
ed.nekinilk-retinnahoj.lds@suahneknarK
Ärztlicher Dienst, Pflegedienst, Arbeitssicherheitsfachkraft, Qualitätsmanagement
Conference frequency: quartalsweise
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Geschäftsordnung Risikomanagement (01.10.2021) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Verfahrensanweisung Notfallmanagement (01.09.2021) |
| RM05 |
Pain management Arbeitsanweisung Empfehlung Schmerztherapie (12.07.2021) |
| RM06 |
Fall prophylaxis Standard Sturzprophylaxe (05.07.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Standard Dekubitusprophylaxe (12.07.2021) |
| RM08 |
Regulated handling of custodial measures Standard Fixierung (11.07.2022) |
| RM09 |
Regulated handling of occurring malfunctions of devices Verfahrensanweisung Ablauf bei Bearbeitung von Vorkommnissen mit aktivenMedizinprodukten (01.08.2023) |
| 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 OP-Statut (01.11.2021) |
| RM15 |
Preoperative, complete presentation of necessary findings OP-Statut (01.11.2021) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Verfahrensanweisung Identitätskontrolle eines Patienten vor einer OP (23.03.2023) |
| RM17 |
Standards for recovery and postoperative care OP-Statut (01.11.2021) |
| RM18 |
Discharge management Leitfaden Entlassungsmanagement (03.09.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Patientenarmband, Patientensicherheits-Checkliste, Komplikationskonferenzen
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 01.10.2021 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: quartalsweise
| No. | Explanation |
|---|---|
|
Other |