Städtisches Krankenhaus Eisenhüttenstadt GmbH - Tagesklinik Guben

Dealing with risks in patient care

Quality management

Frau E. Purps

Qualitätsmanagerin

Dr.-Ayrer-Straße 1-4
03172 Guben

Phone: 03364-54-3710
Mail: ed.tshehk@spruP.eklE

Ärztlicher Leiter, Betriebsratsvorsitzende, Personalleiterin, Pflegedienstleiterin, Pflegeleitungen,Qualitäts- und Risikomanagerin, Sachgebietsleiterin Allgemeine Verwaltung, Verwaltungsleiter, Abteilungsleiterin Finanz- und Investitionsmanagement

Conference frequency: quartalsweise

Risk management

Qualitätsmanagerin

E. Purps

Dr.-Ayrer-Straße 1-4
03172 Guben

Phone: 03364-54-3710
Fax: 03364-54-3705
Mail: ed.tshehk@spruP.eklE

Ärztlicher Leiter, Betriebsratsvorsitzende, Personalleiterin, Pflegedienstleiterin, Pflegeleitungen,Qualitäts- und Risikomanagerin, Sachgebietsleiterin Allgemeine Verwaltung, Verwaltungsleiter, Abteilungsleiterin Finanz- und Investitionsmanagement

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

QM- Portal (01.09.2019)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Krankenhausalarmplan (03.06.2020)

RM05

Pain management

Expertenstandard "Schmerzmanagement" in der Pflege (27.07.2020)

RM06

Fall prophylaxis

QM- Portal (01.09.2019)

RM07

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

QM- Portal (17.02.2020)

RM09

Regulated handling of occurring malfunctions of devices

Dienstanweisung zum Errichten, Betreiben und Anwenden von Medizinprodukten (07.05.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Palliativbesprechungen
  • Qualitätszirkel
RM12

Use of standardised information sheets

RM16

Procedure to avoid procedural and patient mix-ups

Verfahrensanweisung "Patientenarmbänder" (22.04.2020)

RM18

Discharge management

Expertenstandard "Entlassungsmanagement in der Pflege" (03.05.2020)

Fault reporting systems

Conference committee

Conference frequency: quartalsweise

Measures


No. Explanation
IF01

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

As of: 13.06.2018

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
EF03

KH-CIRS (German Hospital Federation, Action Alliance for Patient Safety, German Nursing Council, German Medical Association, National Association of Statutory Health Insurance Doctors)