Dealing with risks in patient care

Quality management

Anne-Marie Häse

Stabsstelle Qualitätsmanagement

Mühlweg 7
06114 Halle

Phone: 0345 -778-6121
Mail: ed.ellah-kreweinokaid@tnemeganamsteatilauq

Louisa Röber-Dubrau

Stabsstelle Qualitätsmanagement

Mühlweg 7
06114 Halle

Phone: 0345 -778-6882
Mail: ed.ellah-kreweinokaid@tnemeganamsteatilauq

Conference frequency:

Risk management

Anne-Marie Häse

Stabsstelle Qualitätsmanagement

Mühlweg 7
06114 Halle

Phone: 0345 -778-6121
Fax: 0345-778-6565
Mail: ed.ellah-kreweinokaid@tnemeganamsteatilauq

Louisa Röber-Dubrau

Stabsstelle Qualitätsmanagement

Mühlweg 7
06114 Halle

Phone: 0345 -778-6882
Fax: 0345-778-6565
Mail: ed.ellah-kreweinokaid@tnemeganamsteatilauq

Conference frequency:

Risk management instruments and measures

No. Explanation
RM01

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

Qualitäts- und Risikomanagementhandbuch (24.05.2023)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Verfahrensanweisung Medizinisches Notfallmanagement im Diakoniekrankenhaus Verfahrensanweisung Reanimation Checkliste Überprüfung Notfallequipment (18.08.2022)

RM05

Pain management

Standard Konzept postoperative Schmerztherapie im Diakoniekrankenhaus Standard Postoperatives Schmerzschema (20.04.2021)

RM06

Fall prophylaxis

Handbuch Pflegestandards - Kapitel Sturzprophylaxe (06.06.2023)

RM07

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

Handbuch Pflegestandards - Kapitel Dekubitusprophylaxe (06.06.2023)

RM08

Regulated handling of custodial measures

Umgang mit freiheitsentziehenden Maßnahmen und Fixierungssystemen (28.04.2016)

RM09

Regulated handling of occurring malfunctions of devices

Organisationshandbuch Medizintechnik (26.02.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • Ethikkomitee
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 (10.10.2022)

RM15

Preoperative, complete presentation of necessary findings

OP-Statut (10.10.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Checkliste im KIS (01.01.2023)

RM17

Standards for recovery and postoperative care

Handbuch Pflegestandards Anästhesie und ITS (10.08.2020)

RM18

Discharge management

Entlassmanagement im Diakoniekrankenhaus (11.01.2018)

Fault reporting systems

Conference committee

Conference frequency:

Measures

strukturierte Erfassung und Bearbeitung von Fehlermeldungen; Bearbeitung, Weiterleitung und Nachkontrolle von eingeleiteten Maßnahmen

No. Explanation
IF01

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

As of: 24.05.2023

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: