Ev. Diakonissenkrankenhaus Leipzig gGmbH
Dealing with risks in patient care
Quality management
B.Sc. Angewandte Gesundheitswissenschaften Therese Al-Kuhaly
Qualitätsmanagementbeauftragte
Georg-Schwarz-Straße 49
04177 Leipzig
Phone: 0341-444-5838
Mail: ed.nocaide@ylahuk-la.esereht
Geschäftsführung, theologische Geschäftsführung, Pflegedirektion, ärztliche Leitung
Conference frequency: andere Frequenz
Risk management
Qualitätsmanagementbeauftragte
Therese Al-Kuhaly
Georg-Schwarz-Str. 49
04177 Leipzig
Phone: 0341-444-5838
Fax: 0341-444-3513
Mail: ed.nocaide@ylahuk-la.esereht
Geschäftsführung, theologische Geschäftsführung, Pflegedirektion, ärztliche Leitung
Conference frequency: andere Frequenz
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Risikomanagementhandbuch (18.07.2016) |
| RM02 |
Regular further education and training measures |
| RM03 |
Employee surveys |
| RM04 |
Clinical emergency management Schockraumbehandlung (15.03.2018) |
| RM05 |
Pain management SOP postoperative Schmerztherapie bei Erwachsenen (16.01.2019) |
| RM06 |
Fall prophylaxis Sturzmanagement in der Pflege (18.03.2019) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Dekubitus - VA_Dekubitus nach Expertenstandard nach DNQP 2010 (19.06.2015) |
| RM08 |
Regulated handling of custodial measures VA Patientensicherheit und Fixierung (29.10.2015) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (11.04.2018) |
| RM10 |
Structured implementation of interdisciplinary case discussions/conferences Case review conference
|
| 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 Sicherheitscheckliste (26.07.2019) |
| RM15 |
Preoperative, complete presentation of necessary findings OP Sicherheitscheckliste (26.07.2019) |
| RM16 |
Procedure to avoid procedural and patient mix-ups OP Sicherheitscheckliste (26.07.2019) |
| RM17 |
Standards for recovery and postoperative care Anästhesie - PB_Narkoseausleitung und Übernahme Aufwachraum (16.02.2017) |
| RM18 |
Discharge management VA Entlassmanagement (12.09.2017) |
Fault reporting systems
Conference committee
Conference frequency: monatlich
Measures
Wachpersonal
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 13.01.2015 |
| 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 jährlich |
Conference committee
Conference frequency:
| No. | Explanation |
|---|---|
|
Other |