Dealing with risks in patient care

Quality management

Eileen Zaschke

Qualitätsmanagement

Krankenhausstraße 27
34613 Schwalmstadt

Phone: 06691 -799-717
Mail: moc.soipelksa@ekhcsaz.e

Alle Abteilungen und Fachbereiche

Conference frequency: monatlich

Risk management

Eileen Zaschke

Qualitätsmanagement

Krankenhausstr. 27
34613 Schwalmstadt

Phone: 06691 -799-717
Mail: moc.soipelksa@ekhcsaz.e

Alle Abteilungen und Fachbereiche

Conference frequency: monatlich

Risk management instruments and measures

No. Explanation
RM01

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

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM05

Pain management

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

RM06

Fall prophylaxis

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

RM07

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

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

RM08

Regulated handling of custodial measures

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

RM09

Regulated handling of occurring malfunctions of devices

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Interdisziplinäre Fallkonferenz von Patienten mit Bauchaortenaneurysma
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 (31.08.2022)

RM15

Preoperative, complete presentation of necessary findings

Asklepios Sicherheits-Checkliste OP (31.08.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Vermeidung von Eingriffsverwechslung/ Sichere Patientenidentifikation (20.01.2022)

RM17

Standards for recovery and postoperative care

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

RM18

Discharge management

Asklepios Konzept klinisches Risikomanagement (30.05.2022)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Hygiene, Patientensicherheit

No. Explanation
IF01

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

As of: 05.08.2019

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: monatlich

No. Explanation

Other

EF14

CIRS Health Care