Dealing with risks in patient care

Quality management

Stefanie Brückner

Mitarbeiterin Qualitätsmanagement

Röntgenstraße 23
02730 Ebersbach-Neugersdorf

Phone: 03583 -88-1000
Mail: ed.bo-k@ofni

Stefanie Brückner

Mitarbeiterin Qualitätsmanagement

Röntgenstraße 23
02730 Ebersbach-Neugersdorf

Phone: 03583 -88-1000
Mail: ed.bo-k@ofni

Qualitätszirkel

Conference frequency: halbjährlich

Risk management

Stefanie Brückner

Mitarbeiterin Qualitätsmanagement

Phone: 03583 -88-1000
Mail: ed.bo-k@ofni

Stefanie Brückner

Mitarbeiterin Qualitätsmanagement

Phone: 03583 -88-1000
Mail: ed.bo-k@ofni

Qualitätszirkel

Conference frequency: halbjährlich

Risk management instruments and measures

No. Explanation
RM01

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

Qualitätsmanagement-Handbuch, Datum 12.03.2021 Risikomanagement-Handbuch, Datum 08.06.2020 (12.03.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Alarm- und Einsatzplan (15.06.2021)

RM05

Pain management

Qualitätsmanagement-Handbuch, Datum 12.03.2021 Risikomanagement-Handbuch, Datum 08.06.2020 (12.03.2021)

RM06

Fall prophylaxis

Qualitätsmanagement-Handbuch, Datum 12.03.2021 Risikomanagement-Handbuch, Datum 08.06.2020 (12.03.2021)

RM07

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

Dekubitusprohylaxe (EP) (08.12.2021)

RM08

Regulated handling of custodial measures

Freiheitsentziehende Maßnahmen (HS) (13.03.2020)

RM09

Regulated handling of occurring malfunctions of devices

Qualitätsmanagement-Handbuch, Datum 12.03.2021 Risikomanagement-Handbuch, Datum 08.06.2020 (12.03.2021)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Palliativbesprechungen
  • 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

OP-Checkliste (25.11.2021)

RM15

Preoperative, complete presentation of necessary findings

OP-Checkliste (18.09.2020)

RM16

Procedure to avoid procedural and patient mix-ups

OP-Checkliste (18.09.2020)

RM17

Standards for recovery and postoperative care

OP-Checkliste (18.09.2020)

RM18

Discharge management

Verfahrensanweisung Entlassmanagement (19.03.2018)

Fault reporting systems

Conference committee

Conference frequency: bei Bedarf

Measures

Sturzprophylaxe

No. Explanation
IF01

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

As of: 26.02.2019

IF02

Internal evaluation of the received reports

taken bei Bedarf

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: bei Bedarf

No. Explanation

Other