Dealing with risks in patient care

Quality management

Katja Goy

QMB

Nebelschützer Straße 40
01917 Kamenz

Phone: 035200 -26-2276
Mail: ed.neshcas.sms.rahks@tnemeganamsteatilauQ

Krankenhausdirektorium (Ärztlicher Direktor; Pflegedirektorin; Verwaltungsdirektor)

Conference frequency: wöchentlich

Risk management

Nebelschützer Straße 40
01917 Kamenz

Phone: --

Risiko/CIRS-Team: OÄ Neurologie Pflegebereichsleitung Arzt Erwachsenenpsychiatrie QMB

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM02

Regular further education and training measures

RM03

Employee surveys

RM05

Pain management

Standard Schmerztherapie (12.07.2017)

RM06

Fall prophylaxis

VA Sturzprophylaxe (03.05.2021)

RM08

Regulated handling of custodial measures

Standard Fixierungen (18.09.2020)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
RM12

Use of standardised information sheets

RM18

Discharge management

Standard Entlassmanagement (29.04.2021)

Fault reporting systems

Conference committee

Conference frequency:

Measures

verschiedene Prozesse wurden angepasst

No. Explanation
IF01

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

As of: 21.06.2021

IF02

Internal evaluation of the received reports

taken halbjährlich

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: