Dealing with risks in patient care

Quality management

Nick Purand

Qualitätsmanagementbeauftragter

Gustav-Adolf-Straße 15 a
04849 Bad Düben

Phone: 034243 -76-1711
Mail: ed.nilcidem@dnarup.kcin

Beteiligung aller Mitglieder der Klinikleitung und des Qualitätsmanagementbeauftragten

Conference frequency: jährlich

Risk management

Angela Huber

Qualitätsmanagerin

Phone: 0781 -488-204
Mail: ed.nilcidem@rebuh.alegna

Angela Huber

Qualitätsmanagerin

Phone: 0781 -488-204
Mail: ed.nilcidem@rebuh.alegna

Anlassbezoge Teilnehmerauswahl

Conference frequency: jährlich

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagement-Handbuch (08.12.2022)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Qualitätsmanagement-Handbuch (08.12.2022)

RM05

Pain management

Qualitätsmanagement-Handbuch (08.12.2022)

RM06

Fall prophylaxis

Qualitätsmanagement-Handbuch (08.12.2022)

RM07

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

Qualitätsmanagement-Handbuch (08.12.2022)

RM08

Regulated handling of custodial measures

Qualitätsmanagement-Handbuch (08.12.2022)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagement-Handbuch (08.12.2022)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Mortalitäts- und Morbiditätskonferenzen
  • Qualitätszirkel
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

Qualitätsmanagement-Handbuch (08.12.2022)

RM15

Preoperative, complete presentation of necessary findings

Qualitätsmanagement-Handbuch (08.12.2022)

RM16

Procedure to avoid procedural and patient mix-ups

Qualitätsmanagement-Handbuch (08.12.2022)

RM17

Standards for recovery and postoperative care

Qualitätsmanagement-Handbuch (08.12.2022)

RM18

Discharge management

Qualitätsmanagement-Handbuch (08.12.2022)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Verträglichkeits- und Therapieerfolgskontrolle bei Medikamenten (Berichterstattung bei Auftreten unerwünschter Arzneimittelwirkungen) Teilnahme am Endoprothesenregister Deutschland

No. Explanation
IF01

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

As of: 03.03.2020

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 jährlich

Conference committee

Conference frequency: