Dealing with risks in patient care

Quality management

Andrea Hennicke

Regionalverantwortliche QM AMEOS Ost / Risikomanager

Eislebener Str. 7a
06449 Aschersleben

Phone: 03473 -97-1071
Mail: ed.soema.tso@dz.hdna

Krankenhausdirektor, Ärztlicher Direktor, Pflegedirektor, Regionalverantwortliche QM AMEOS Ost

Conference frequency: wöchentlich

Risk management

Andrea Hennicke

Regionalverantwortliche QM AMEOS Ost / Risikomanager

Eislebener Str. 7a
06449 Aschersleben

Phone: 03473 -97-1071
Fax: 03473-97-1125
Mail: ed.soema.tso@dz.hdna

Krankenhausdirektor, Ärztlicher Direktor, Pflegedirektor, Regionalverantwortliche QM AMEOS Ost

Conference frequency: wöchentlich

Risk management instruments and measures

No. Explanation
RM01

Comprehensive quality and/or risk management documentation (QM/RM documentation) is available

RM-Richtlinie, Version 2 (09.12.2020)

RM02

Regular further education and training measures

RM04

Clinical emergency management

RM-Richtlinie, Version 2 (09.12.2020)

RM05

Pain management

RM-Richtlinie, Version 2 (09.12.2020)

RM06

Fall prophylaxis

RM-Richtlinie, Version 2 (09.12.2020)

RM07

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

RM-Richtlinie, Version 2 (09.12.2020)

RM09

Regulated handling of occurring malfunctions of devices

RM-Richtlinie, Version 2 (09.12.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
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

RM-Richtlinie, Version 2 (09.12.2020)

RM15

Preoperative, complete presentation of necessary findings

RM-Richtlinie, Version 2 (09.12.2020)

RM16

Procedure to avoid procedural and patient mix-ups

RM-Richtlinie, Version 2 (09.12.2020)

RM17

Standards for recovery and postoperative care

RM-Richtlinie, Version 2 (09.12.2020)

RM18

Discharge management

RM-Richtlinie, Version 2 (09.12.2020)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures

Reduzierung der Wartezeiten für stationäre Patientenaufnahmen

No. Explanation
IF01

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

As of: 28.08.2021

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 quartalsweise

Conference committee

Conference frequency: