Dealing with risks in patient care

Quality management

Anne Sengebusch

QMB

Hohwaldstraße 40
01844 Neustadt

Phone: 035971 -6-1512
Mail: moc.soipelksa@hcsubegnes.na

GF, QMB

Conference frequency: monatlich

Risk management

Anne Sengebusch

QMB

Hohwaldstraße 40
01844 Neustadt in Sachsen

Phone: 035971 -6-1512
Fax: 03596-567-204
Mail: moc.soipelksa@hcsubegnes.na

GF, 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 (11.04.2022)

RM05

Pain management

Standard Schmerztherapie (17.08.2020)

RM06

Fall prophylaxis

Expertenstandard Sturzprophylaxe (28.11.2019)

RM07

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

Expertenstandard Dekubitusprophylaxe (04.11.2022)

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 (20.08.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • gemeinsame Visiten
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

Asklepios Sicherheits-Checkliste OP (11.01.2022)

RM15

Preoperative, complete presentation of necessary findings

Asklepios Sicherheits-Checkliste OP (11.01.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Sichere Patientenidentifikation / Klinisches Risikomanagement (10.06.2022)

RM17

Standards for recovery and postoperative care

Ablauf postoperative Patienten (31.01.2019)

RM18

Discharge management

Verfahrensanweisung Entlassungsmanagement (20.03.2019)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

u.a. Anpassung der Kommunikationsstruktur für kurzfristig bereitzustellende Informationen

No. Explanation
IF01

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

As of: 09.05.2017

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: quartalsweise

No. Explanation

Other

EF14

CIRS Health Care