Dealing with risks in patient care
Quality management
Anne Sengebusch
Qualitätsmanagementbeauftragte bis 30.09.2021
Dr. - Steudner - Straße 75b
01855 Sebnitz
Phone:
035971
-6-1512
Mail:
moc.soipelksa@hcsubegnes.na
Geschäftsführung, QMB
Conference frequency: monatlich
Risk management
Anne Sengebusch
Qualitätsmanagementbeauftragte bis 30.09.2021
Dr.-Steudner-Str. 75b
01855 Sebnitz
Phone:
035971
-6-1512
Fax: 03596-567-287
Mail:
moc.soipelksa@hcsubegnes.na
Geschäftsführung, QMB
Conference frequency: monatlich
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Klinisches Risikomanagement (30.05.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Alarm- und Einsatzplan (04.08.2022) |
| RM05 |
Pain management Schmerztherapiekonzept (15.05.2018) |
| RM06 |
Fall prophylaxis Pflegestandard Sturzprophylaxe (15.05.2018) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe/ Pflegestandard Dekubitusbehandlung (03.02.2022) |
| RM08 |
Regulated handling of custodial measures AKG-KGF-VA-58 Umgang mit freiheitsentziehenden Maßnahmen (14.09.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik der Sächsischen Schweiz Klinik Sebnitz (17.03.2022) |
| 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 Bestandteil der VA Sicherheits-Checkliste OP (11.01.2022) |
| RM15 |
Preoperative, complete presentation of necessary findings Bestandteil der VA Sicherheits-Checkliste OP (11.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Vermeidung einer Eingriffsverwechslung & Sichere Patientenidentifikation (20.01.2022) |
| RM17 |
Standards for recovery and postoperative care Standard Prä- und Postoperative Überwachung (15.05.2018) |
| RM18 |
Discharge management KGF-VA Entlassmanagement (11.06.2021) |
Fault reporting systems
Conference committee
Conference frequency: quartalsweise
Measures
Stärkung der CIRS-Kommunikation
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 04.02.2022 |
| IF02 |
Internal evaluation of the received reports taken quartalsweise |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |