Dealing with risks in patient care
Quality management
Anne Sengebusch
Qualitätsmanagementbeauftragte
Pulsnitzer Straße 60
01454 Radeberg
Phone:
03528
-459-5103
Mail:
moc.soipelksa@hcsubegnes.na
Anne Sengebusch
Qualitätsmanagementbeauftragte
Pulsnitzer Straße 60
01454 Radeberg
Phone:
03528
-459-5103
Mail:
moc.soipelksa@hcsubegnes.na
Geschäftsführung, Chefärzte aller Fachabteilungen, Pflegedienstleitung
Conference frequency: monatlich
Risk management
Anne Sengebusch
Qualitätsmanagementbeauftragte
Pulsnitzer Straße 60
01454 Radeberg
Phone:
03528
-459-5103
Fax: 03528-442-809
Mail:
moc.soipelksa@hcsubegnes.na
Anne Sengebusch
Qualitätsmanagementbeauftragte
Pulsnitzer Straße 60
01454 Radeberg
Phone:
03528
-459-5103
Fax: 03528-442-809
Mail:
moc.soipelksa@hcsubegnes.na
Meldekreisverantwortliche der Bereiche Innere Medizin, Chirurgie und Funktionsbereich/Sonstige Anonymisierer (Betriebsrat) Arbeitsgruppe Asklepios CIRS Netz
Conference frequency: bei Bedarf
Risk management instruments and measures
| No. | Explanation |
|---|---|
| RM01 |
Comprehensive quality and/or risk management documentation (QM/RM documentation) is available Konzept Klinisches Risikomanagement (30.05.2022) |
| RM02 |
Regular further education and training measures |
| RM04 |
Clinical emergency management Notfalldokument (29.10.2018) |
| RM05 |
Pain management Gemeinsame Durchführung der Schmerztherapie (29.10.2022) |
| RM06 |
Fall prophylaxis Expertenstandard Sturzprophylaxe (03.05.2021) |
| RM07 |
Use of a standardised concept for pressure ulcer prophylaxis (e.g. “Expert Standard for Pressure Ulcer Prophylaxis in Nursing”) Pflegestandard Dekubitusprophylaxe (27.04.2017) |
| RM08 |
Regulated handling of custodial measures AKG-KGF-VA-58 Umgang mit freiheitsentziehenden Maßnahmen (14.09.2020) |
| RM09 |
Regulated handling of occurring malfunctions of devices Organisationshandbuch Medizintechnik (05.06.2019) |
| 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 VA Asklepios-Sicherheitscheckliste OP (AKV-KGF-VA-15) (29.09.2017) |
| RM15 |
Preoperative, complete presentation of necessary findings Asklepios-Sicherheitscheckliste OP (11.01.2022) |
| RM16 |
Procedure to avoid procedural and patient mix-ups Sichere Patientenidentifikation / Klinisches Risikomanagement (10.06.2022) |
| RM17 |
Standards for recovery and postoperative care Überwachung nach Anästhesieverfahren - AWR (26.10.2022) |
| RM18 |
Discharge management KGF-VA Entlassmanagement (11.06.2021) |
Fault reporting systems
Conference committee
Conference frequency: bei Bedarf
Measures
Anpassung der Kommunikationsstruktur im Haus
| No. | Explanation |
|---|---|
| IF01 |
Documentation and procedural instructions for handling the error reporting system are available As of: 09.05.2017 |
| IF02 |
Internal evaluation of the received reports taken jährlich |
| 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: bei Bedarf
| No. | Explanation |
|---|---|
|
Other |
|
| EF14 |
CIRS Health Care |