Dealing with risks in patient care

Quality management

Adina Metzig

Leitung Qualitätsmanagement

Pestalozzistraße 9
04442 Zwenkau

Phone: 03433 -21-1521
Mail: ed.anas@giztem.anida

Qualitätskommission

Conference frequency: quartalsweise

Risk management

Adina Metzig

Leitung Qualitätsmanagement

Pestalozzistraße 9
04442 Zwenkau

Phone: 03433 -21-1521
Fax: 03433-21-1078
Mail: ed.anas@giztem.anida

Qualitätskommission

Conference frequency: quartalsweise

Risk management instruments and measures

No. Explanation
RM01

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

Sana Management Handbuch 2.0 (01.07.2021)

RM02

Regular further education and training measures

RM03

Employee surveys

RM04

Clinical emergency management

Sana Management Handbuch 2.0 (01.07.2021)

RM05

Pain management

Sana Management Handbuch 2.0 (01.05.2020)

RM06

Fall prophylaxis

Sana Management Handbuch 2.0 (01.05.2020)

RM07

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

Sana Management Handbuch 2.0 (01.05.2020)

RM08

Regulated handling of custodial measures

Sana Management Handbuch 2.0 (01.05.2020)

RM09

Regulated handling of occurring malfunctions of devices

Sana aktive Medizinprodukte betreiben (SAMBA) (01.01.2019)

RM10

Structured implementation of interdisciplinary case discussions/conferences

Case review conference

  • Qualitätszirkel
  • Tumorkonferenzen
  • Mortalitäts- und Morbiditätskonferenzen
  • Pathologiebesprechungen
  • Palliativbesprechungen
  • Ethische Fallbesprechungen
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

Sana Management Handbuch 2.0 (01.05.2020)

RM15

Preoperative, complete presentation of necessary findings

Sana Management Handbuch 2.0 (01.05.2020)

RM16

Procedure to avoid procedural and patient mix-ups

Sana Management Handbuch 2.0 (01.05.2020)

RM17

Standards for recovery and postoperative care

Sana Management Handbuch 2.0 (01.05.2020)

RM18

Discharge management

Sana Management Handbuch 2.0 (01.05.2020)

Fault reporting systems

Conference committee

Conference frequency: monatlich

Measures

Einführung interne Pflegeaudits Einführung Dokumentationsvisiten Einführung Risikomarker im hausinternen KIS (SAP) Pflegekampagne zur verwechslungssicheren Blutentnahme Ausbau Monitorüberwachung nach Interventionen

No. Explanation
IF01

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

As of: 01.10.2021

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: monatlich

No. Explanation

Other